HomeMy WebLinkAboutBLD9832 ReRoof - BLD Permit / Conditions - 3/9/1982r
Kloze, N. S. #9832
(455-2053)BellevuP- - 3/9/82
33-22-3, Tract 2, of E 1/4 of Lot 1 & TL
E 7627 Highway 106, Belfair.
Replace Roof Contractor:
Verne Day
$12680.00
r-
Shorelines:
Setback:
Sr,ecial ron+litions:
Footing:
Setback:
Foundation Walls:
Framinq:
Firer)lace:
Flood Stove:
Plumbina:
"Imebanical:
Roof]
Fxterior:
Interior:
Final:
Ston Work.
Mobile Home
Remarks:
AUDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE /f P PHONE
DIRECTIONS
TO JOB SITE S - 77 17. e"
LEGAL (C SEE ATTACHED SHEET)
DESCR. 23. a-3 0? E y - -Z
N ME MAIL DDRESS CITY&STATE .. ICENS NO. PHONE
CONTRACTOR �/ I
!J i
USE OF
BUILDING
Class of work: ❑ NEW ❑ AD ION A ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ Q c) PLAN CHECK FEE PERMIT FEE o D
Z.. g"a, 8'
SPECIAL CONDITIONS:
r__
BEDROOMS I DECKS CARPORT [__ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE [,
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED Ll OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [] DETACHED L!
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 ANY TIME 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 SHORELINES L
SEASONAL L FLOODPLAIN
Firm /�/ /4 /7/S 7' .
Ll
E.D. NO. S.E.P.A. [1
By Special Approvals IN OUT YES APPROVED NO
Lic. Norm C �- !�G ata? A- k Zr 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. 2
of the Mason County ordinance requirements for
which thi permit is issued and that all work done will ROAD ACCESS
be in nformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN ECK BY APPROVED F R ISSUANCE
Owner _ Date. (/Jt1/,/// BY
PLK CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH