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BLD18013 Final Pole Bldg - BLD Permit / Conditions - 10/17/1985
Y TYPE POLE BLDG. Permit No. 18013 No. Floors Sq Ftg 1536 Owner Mike Barber/Marilyn LanueTel 476-8622 Date 10-1-85 Address P. 0. Box 32 Gorst Zip 98337 Contractor Perma Bilt Address 16521 Hwy 99 Lynnwood, Wn. Zip Legal Description SW-1/4,14E-1/4 16-23-1 Direction to project site MAP ATTACHED Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 32x48 Shorelines: 41A Setback: f Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wdod Stove: Plumbing: Mechanical: ,Idterior: Final: /I Mobile Home: Smoke Detector: Remarks:-' ' BUILDING PERMIT APPLICATION - MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 _ DATE ISSUED PERMIT N0. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE �� LEGAL (❑ SEE ATTACHED SHEET) NAME CONTRACTOR MAIL ADDRESS CITY&STAT CENSE NO. PHONE USE OF BUILDING ` Class of woK. NEW ❑ AD61TION ❑ XCTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: I I _ /a Valuation of work: $ I PLAN CHECK FEE / S © JERMIT FEE SPECIAL CONDITIONS: BEDROOMS I DECKS — CARPORT [] NOTICE BATHROOMS_ TOTAL SQ. FT. GARAGE ATTACHED i_I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SC FIREPLACE ❑ DETACHED L 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 /he ertify that I am a currently registered contractor in WORK IS COMMENCED. State of Washington and I th aware of theFOR .OFFICE USE ONLY inance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES SEASONAL I FLOODPLAIN Firm E.D. NO. S.E.P.A. I i B Special Approvals IN OUT YES APPROVED NO Lic. o _�A_wk Date s/L ZONING PLANNING DEPT. jo,K 9- (I 85 IA OWNERS AFFIDAVIT HEALTH DEPT. 6-1 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 APPLICATION ACCEPTED BY PLANS HECK BY APPROVED FOR ISSUANCE Owner —Date_ D��/ � BY G Ci4yL' �/ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH