HomeMy WebLinkAboutBLD11614 Shed - BLD Permit / Conditions - 10/21/1981 Simmons, Michael T. #11614
10/21/81
32-22-3 Tract 7 of Servey V of 5, Page59
Atrove Union Community Center. Straight out road
up hill. Next door to Knudson Pole Co. property
Call 877-5795 or 426-9726 (RaeGene) for directions.
Storage Shed Contractor:
Bell
$4,896.00
Shorelines: N� 1
Setback: p
Special Conditions:
Footing:d T L
Setback:
Foundation Walls :
Framing: �-•
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
� J
BUILDING PERMIT' APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 D
DATE ISSUED l
PERMIT NO. «lob
OWNER N E. + MAIL ADDRESS to, P n, CITY&STATE IP �� %PH E
S/✓J G`
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DIRECTIONS ���
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TO JOB ITE
LEGAL lh&d" SEE ATTACHED SHEET) f
DE R. &a _ - 3
CO RACTOR NAME MAIL AD ESS CITY&STATE V LICENSE NO. PHONE
USE OF
Y,
BUILDINGNG lJ
Class of work: ❑ NEW ❑ ADD ON ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:&Ve �/ y i
/1
ay ;;jhcej
Valuation of work: $ ��9� _ PLAN CHECK FEE PERMIT FEE`O sO
SPECIAL CONDITIONS. \77
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [)
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE [7 DETACHED ❑
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 FORA 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
F F I^(J E 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 I l
SEASONAL I_] FLOODPLAIN []
Firm E.D. NO. S.E.P.A. I I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be 'In conformance therewith. MOTOR VEHICLE PERMIT
Own Date j_0]�2H/
ICATION A EPT D BY I PLANS CHECK BY PROVED FO SSUANCE
1 N CHECK VALIDATION CK. M.O. CASH V PERMIT VALIDATION CK. M.O. CASH
• PLOT PLAN
ADDRESS PERMIT NO. o
o
LEGAL '
DESCRIPTION LOT BILK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining ppr
LZ Lam V
� i�rn m�o,ss F
� .
N M ( 1 OF OWNER(3 OF SITE 6 STRUCTU E(31 (PRINT) I URE OF OWNER(SI OR AU HO I D RE SEN TATIVE
DO NOT WRITE BELOW T IS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING