HomeMy WebLinkAboutBLD15930 Roof Trusses - BLD Permit / Conditions - 8/1/1984 SHORT, Kenneth -:5 22.J`J - S 1 -DOOi8 #15930
8-1-84
NW-1/4, SW-1/4 Tract 10 28-23-1
P. 0. Box 2058
Silverdale, Wash 98383 692-4100
1/4 mile toward Belfair from "Casa de Canal" restaurant
Contractor
Self
Roof Trusses
$5,200.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:e'er L/ fi s
Stop Work:
Mobile Home:
Smoke Detector:
Remarks•
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �-
PERMIT NO.
OWNER N MAIL$DD S CI 8 STATE ,/ ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL RSO� / /O ff' EE ATTD SHEET) °Tr?c4t- io
DESCR. u ` l t r��n' �c
V�
NAME MAIL ADDRESS CITY&STATE LICENSE INO. PHONE
CONTRACTOR
B"GCJ/l/.p2
USE OF
BUILDING S�� /r �j•9yrr/�-� �.�5. �� Truss S
Class of work: ❑ NEW ❑ ADDITION ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ S�ZOO PLAN CHECK FEE PERMIT FEE 5-0
/ '414. S
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS___ TOTAL SQ. FT. GARAGE ❑
ATTACHED i: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED I
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.
he State of Washington and I the
aware of the FOR OFFICE USE ONLY
rdinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT , i SHORELINES
SEASONAL [ ! FLOODPLAIN I '
Fir E.D. NO. S.E.P.A. i
g 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be i conform th h. MOTOR VEHICLE PERMIT
ICAT ACCEPTED BY PLANS CK BY APPROVED FOR ISSUANCE
Owner ___ Date . 7/'3� BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH