HomeMy WebLinkAboutBLD0059 Install Wiring and Remodel House - BLD Permit / Conditions - 7/19/1983 Giebel, -arry #0059
2•,5-4791 7/19/83
9-23-1, Old Belfair Highway
3rd house on right side of road north of Bear Creek
Mini Market, NE 3700 Old Belfair Highway
Repair & Remodel Contractor:
Same
$1,450.00
Shorelines: VA
Setback: 0 is
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
1
4 BUILDING PERMIT APPLICATION
MASON COUNTY Z�3
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED a
PERMIT NO.
NAME rr MAIL ADDRESS CITY&STATE r ZIP PHONE
OWNER 61A a �'' �� IIQ�I�c�i✓ /.t/
DIRECTIONS
TO JOB SITE h Side c r,, r ,w C.-: ; ar
LEGAL -1 (❑ T)SEE ATTACHED SHEE
DESCR. J .a", c, W s-. -- R I w al I-
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
S aL /k p ✓'
USE OF
BUILDING r es i
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION VREPAIR ❑ MOVE ❑ REMOVE
Describe work:
/ n
Valuation of work: $o �, PLAN CHECK FEE PERMIT FEE
S"v. t/ ` J
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT [' NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE ;1
ATTACHED i_; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES 11 BASEMENT I : OR AIR CONDITIONING.
TOTAL SO. FT. 60 FIREPLACE i I DETACHED I 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.
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 i_I SHORELINES
SEASONAL f1 FLOODPLAIN [I
Firm
i E.D. NO. S.E.P.A. C 1
By 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
BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformancp therewith. MOTOR VEHICLE PERMIT
`f APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
�wne � M^%` Date / Of 4
L CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH