HomeMy WebLinkAboutBLD12471 Retail Food Store - BLD Permit / Conditions - 5/25/1982 32z3Z SD OEoo?
OT BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED MaY 26th 19& 2
PERMIT NO. /a 1547 Z
OWNER NAME MAIL ADDRESS CITY&STATE ZIP P N
Leonard a BishopE 5130 Highway 1o6 Union Was 98592 898-2
DIRECTIONS
TO JOB SITE UnionWashington
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. E S ' of lot. 8 ,1ot 9 -Tm-ot. I of Union ( diestrict 350 tray 31 page 4
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR MlorriS Roofi co, P.O Box 2k3 Shelton WA 426-4772
USE OF
BUILDING Retail Food Store
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION JLAEPAIR ❑ MOVE ❑ REMOVE
Describe work:
Re. roof' with base & 2ply fiberglass (not Tar OyAr Igy)
at, 04�5'-.O a =
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
` 0 $20,50
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. _ GARAGE ['
ATTACHED I� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED
Ll THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT L] SHORELINES
SEASONAL ❑ FLOODPLAIN
Firm E.D. NO. S.E.P.A. [
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. - /
OWNERS AFFIDAVIT HEALTH DE
TT
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT. r�
which this permit is issued and that all work done will R S
confo�ma/�nce therewith � MOTOR VEHICLE PERMIT
t l LICATIO AC Er7DPY I PLANS CHECK BY A5FRqVED FOR ISSUANCE
Ow r Date 4�:
CHECK VALIDATION CK. M.O. CASH P MIT VALIDATION K. M.O. CASH
EXEMPTION FROM SHORELINE
MANAGEMENT ACT SUBSTANTIAL
DEVFLOPMENT PERMIT REOUIREMENT
TO: 2RIAIV Y1 Q,
The proposal by to undertake
name of applicant
the following development I'--- r,,P.» �jL l I nu
be specific
upon the following property _ 1 / C L 1
� 6 ra r
legal description i.e. , section to the
PI01 0_ a( 42
nearest quarter section) T
within IL04 and/or its associated
name of wate area
wetlands is exempt/not exempt from the requirement of a substantial
development permit because the development r _
- i�s no nz.� n����,I
P.n/7vr/�,
C
identify exemptions as outlined in WAC 1 3-14-040
Corps Public Notice Number if available)
The proposed development is consistent/inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
Policies of the Shoreline Management
Act.
The master program.
Date Signature of Authorized Loc l Govern-
ment Official)
!�6
ate 0 xp ra't ion