HomeMy WebLinkAboutBLD22738 Foundation - BLD Permit / Conditions - 9/15/1988 a,d)6m:1 9'
P 1 umb ing: a
Shorelines: �
Setback: Mechanical:
Interior:
Special FINAL:
Conditions:
Mobile Home:
Smoke Detector:
Remarks:
Footing: H
Setback:
Foundation
Walls: ►J
Framing:-
Fireplace: ' � K
Wood Stove:
TYPE FOUNDATION
Permit No.
22738 No. Floors Sq Ft g 588
owner CONKLIN, Maurice Tel 898-2176 Datep9-15-88
zi
Address E 10041 Hwy 106 Union
Contractor Rainier Movers Inc Zip
Address Rainier, Wash
Legal Description Pebble Beach ::Park Lots 22-23
Direction to project site Through Union 2 mites nas't—
Twanoh State Park
Plumbing Mechanical Sewer Wood Stove
Fireplace
Deck Garage Carport
Basement Loft other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED v t:5�T�
In
PERMIT
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
l G e edl W .y. o T 2/
DIRECTONS TO OBISITE -+ Z / S A �/�WAA/ -� F(IR K rbl,:L v Pe SKY
PARCEL /goo S�/ F sr7' 06 /
NUMBER zZ��a �O ZZ D SCR. f
NAME MAILADDRESS CITY&STAT LICENSE NO. ZIP PHONE
CONTRACTOR yejeS c 'I✓' z o $ "22 2g
USE OF
BUILDING TJ�✓eLL//✓
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ ----
DESCRIBE
WORKHowse- 2 ( a2 4f/Cw - L
fA o.✓ 70 eo ce —
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST A_ION
LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. APPF,y}yAL FfiOM THE BUILDI E/
X NER DATE X BY DATE 9 1K. U a
FOR OFFICE USE dNLY
PPROVENo DEPARTMENT YESPPROVEN
DEPARTMENT YES Q BUILDING VALUATION �� �
HEALTH 0- PUBLIC WORKS FEE
PLANNING Al- FIRE BUILDING PERMIT ,
D.O.T. I BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP IF PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
l�� _ C-!:! MECHANICAL
STATE BUILDING FEE
STATESURCHARGE /
ICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION /
TOTAL
BY W�L -� CASH CK MO COI• p�