HomeMy WebLinkAboutBLD11715 Utility Room - BLD Permit / Conditions - 11/12/1981 Schatz, Glenn J. #11715
(275-2636) 11/12/81
Madrona Morningside Beach, Tracts 52, 53 & 54
North Shore Road, 13 miles out of Belfair
(Rt. 2, Box 720, Belfair)
Utility Room Contractor;
Self
$3,360.00
Shorelines: N.4.
Setback:Special Conditions:
Conditions:
Footing: 6
Setback: 0
Foundation Walls:
Framing:dK ~�
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Rot)f:
Exterior:
Interior:
Final:0- G /3�¢5
Stop Work:
Mobile- Home
Remarks:
L -
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER �/��A AIL RESS 1 CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL -/ r� (❑ SEE ATTACHED SHEET)
DESCR. C1 Ise D r Sly e C u�a v�
NAME _ IL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
fl
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
y L/ sr
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
/ ATTACHED L' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L; OR AIR CONDITIONING.
TOTAL SO. FT. L2 FIREPLACE I] DETACHED Li
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 ❑
/` �a✓T /���t SEASONAL ❑ FLOODPLAIN L]
Firm E.D. NO. S.E.P.A. l.J
By t Special Approvals IN OUT YES APPROVED NO
Lic. No. 64!!5— —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
AP 1CATION AC EPT BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . BY
^�;,"•'.
P N CHECK VALIDATION CK. M.O. CASH P . MIT VALIDATION CK. M.O. CASH