HomeMy WebLinkAboutBLD16371 Garage/Carport - BLD Permit / Conditions - 12/5/1984 VANT, Rocky #16371
12-5-84
Tract 7 of NE-1/4, SE-1/4 9-23-1
From Bear Creek Store follow dirt road on right over
bridge, on right.
Contractor
Self
NE 3524 Old Belfair Hwy
Belfair 275-4162
Garage/Carport /Z367 q1 OW7D
$8,000.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
NULL A VQ10 Uv Cv���;
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /���
1, 3 -y 1 - (.JWrjo PERMIT NO. 16 371
NAME. MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER QG c LFq 7 S q 111
DIRECTIONS I }-�`� - c j-0
TO JOB SITE i�l� vrYl C.0 �f I'C YL�' OLL4w 12IP- A 6 0-( r FZT3,9JAL6
LEGAL r C 7 (❑ SE ATTACHED SHEET)
DESCR. �'� — ) �` C ._ y
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
rl
USE OF
BUILDING &7 ;,k j+&T L L,, fl- R grit t R
Class of work: YNEW ❑ ADDI ION ❑ ALTERATION ET REPAIR ❑ MOVE ❑ REMOVE
Describe work:
67A(C b4rL u. F&(c1-
Valuation of work: $ ��V PLAN CHECK FEE PERMIT FEE p�
SPECIAL CONDITIONS: �J, /
Nrti.�
BEDROOMS I DECKS CARPORT NOTICE
BATHROOMS___ TOTAL SQ. FT. GARAGE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES ATTACHED BASEMENT Li OR AIR CONDITIONING.
TOTAL SQ. FT.)." FIREPLACE ❑ DETACHED
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.
th/pmit
of Washington and I the
aware of the FOR OFFICE USE ONLY
oequirements regulating the work for which
th is issued and all work done will be in
ce therewith. PERMANENT 1 1 SHORELINES I
SEASONAL I 1 FLOODPLAIN
Firm E.D. NO. S.E.P.A. i 1
B Special Approvals IN OUT YES APPROVED NO
LVo. 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
Owner Date. Dtr c- 5'1h �q AP ICA,,�N ACCEPTED BY PLANS CHECK BY APPpOVE[yFjOR I SUANC
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. &KSH
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