HomeMy WebLinkAboutBLD21849 04211988 - BLD Permit / Conditions - 4/21/1988 Shorelines: Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: ,,k,5- ,/ rr e-p1
Mobile
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:_elf
TYPE WOODSTOVE
Permit No. 21849 No. Floors Sq Ftg
Owner PIERCE, Roy H `I191 877-9233 Date 4-21-88
Address P 0 Box 174 Hoodsport Zip
Contractor None
Address Zip
Legal Description Grays Harbor & Union City Addn to Union
Direction to project site B1 . 4, Lots 1-4 r� ?Q-'12
E 51 5th St Union
Plmibing Mechanical Sewer Wood Stove x
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED J G'
c
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER
/ / Cl r w �r 71-� 3S
DIRECTIONS
TO JOB SITE -5- 5�Z
PARCEL, LEGAL '
E t ' - _ )� DESCR. �' 7L; , ' '1-2—
NUMB
NAME FAAIL ADDRESS CITY&S A LICENSE NO. ZIP PHONE
CONTRACTOR 1)V2
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
ro CA s4p J ��: 1, 1 y I ,'l
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMEAFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASPNAL
OW ERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I C TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE TRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE IREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
Ily ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
i
X OWNER X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE O�)
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO