HomeMy WebLinkAboutBLD16666 Repairs - BLD Permit / Conditions - 4/11/1985 OFTEDAHL, Mike #16666
4-11-85
40th View Place Shelton 426-9021
Contractor
Flute Corp.
Repair Fire Damage F I CL
$9,000.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: /t L 5-
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:,,-,t/ s_ L 77 7,71
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
i BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �Co12(o�0
PERMIT NO. �1
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Pei h � � �, 1. � /
DIRECTIONS
TO JOB SITE
LEGAL ($SEE ATT/�CHED SHEET)
DESCR. a4l I-,f cl ���'/� �% rrczcg���l if /. � `. .3%5
NA"E MAIL ADDRESS CITY&STATE LICENSE NO.
CONTRACTOR F14 r�P Coy YD L E ✓�G lc, ,J- %�-F T 8�
USE OF r
BUILDING PC."o J pa !'"a
Class of work: ❑ NEW ❑ AD ION ❑ ALTERATION /K-REPAIR ❑ MOVC ❑ REMOVE
Describe work:
S
b
Valuation of work: $ PLAN CHECK FEE PERMIT FEE y-0
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ 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 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 am 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 ❑
SEASONAL ❑ FLOODPLAIN ElFir
E.D. NO. S.E.P.A. ❑
B f� Q C Special Approvals IN OUT YES APPROVED NO
No. �L �/1- el-�3 76'Date j�O� L 7 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 the ith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
PLA HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING