HomeMy WebLinkAboutBLD2106 Garage - BLD Permit / Conditions - 6/14/1979r
Wick, Carl #2106
6-14-79
Pattison Brown Hood Canal Tracts EA 1/2 Tr. 4 & TL
Tr. 5 & TL Mason County
13 miles North Shore Road from Belfair
Star Route 23, Box 706, Belfair
Garage Contractor
Variance Granted to abut B C Construction
$5,000.00 Neighboring garage
T 1
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 7%
PERMIT NO. c:2/d I,
OWNER NAME —MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS �J�,,
TO JOB SITE / d ( 7 s?// ���iq!/G /�41�}l� �C �C�� f�o2 �YQ0
LEGAL r?.(1 �U/Cf f�ck1 U�1�A-b9 7-2,4c irs �'-4 Z (❑ SEE ATTACHED SHEET)
1p.4 ToDESCR. _. ? S 7,c _ f U —
NAME MAIL ADDRESS CITY 8§TATE LICENSE NO. PHONE
CONTRACTOR •<, ._A)"1Z' V!
USE OF
BUILDING
Class of work: >INEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
X 4Va &k Yf�
Valuation of work: $ j PLAN CHECK FEE PERMIT FEE
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SPECIAL CONDITIONS: r w
y mac! 4J s C f
f
BEDROOMS DECKS CARPORT ❑ U NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE`tI04,
ATTACHED [! SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED Ll
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 [
Firm Ajs
T SEASONAL f l FLOODPLAIN C
E.D. NO. S.E.P.A. I'
By • Special Approvals IN OUT YES APPROVED NO
L1c. No. • • • Coll• •J 2 2, AA-) 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
LIGATION ACCEPTED BY PLANS CHECK BY A PROVED FOR ISSUANCE
Owner Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION . M.O. CASH
PLOT PLAN
ADDRESS ^{� <_, PERMIT NO. o
LEGAL 'f All (Jl Y 7� TQ�It_YS /ZP4ScJ.lJ Gy�•
DESCRIPTION LOT BLK ADDITION u
r
SITE AREA 3 %-����) Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 5 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 A'"D 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES =
"vi /i
r �
/ q
Q r
�4 r r
( C
r y n.' '
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 approval.
NAME(3) OF OWNER(3) OF SITE b STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
G HEITON PRINTIN'
April 229 1979
I Stanley IVucDougall and Charloute McDougall have no objection
to Carl and Joyce Wick abutting their storage building to ours
on (legal Description) Pattison Brown Hood Canal Tracts, E?
Tract 4 and T L. Tract 5 and T L. Mason County, 'Washington .
New building would be on East L of tract 4 and T L. Said
building shall not project beyond South elevation of existing
storage building.
�a.nley NicDouga
C ar o to i�,,cDoug 1