HomeMy WebLinkAboutBLD6641 Barn - BLD Permit / Conditions - 6/16/1980 Salrage, Paul A. #6641
6-16-80
Old Belfair Hwy. , 1 mi. from Belfair on left. 1000 ft.
past fire station
Tr. 1, SW SE 20-23-1
Barn
$2,616.00
Y
FY
4#LDING PERMIT APPLICATION
MASON COUNTY IZ, ?W� 06/0
P.O. Box 186 Shelton, Washington 98584
t ' L 426-5593
DATEISSUED
PERMIT NO.
WNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
J L S' ✓A ST P-r 0Y 9,6- 2 EL-kroze)c✓R. 5�8 Z' 75-6-06
DIRECTIONS
TO JOB SITE Ld /=L� 2 k/ N� /h/LE Aoeovt, 43FLFA//2 O✓ LBPl Y000 FT P F/P.E 60jr
LEGAL �� ((_1 SEE ATTACHED SHEET)
DESCR. C75
NAME f-�MAIILL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING ,(3,4,�,,� �� S'i)404 �
Class of work: LINEW, ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Oa,r!d ) a X 4 U
A,2 — D do I.—
Valuation of work: $ t PLAN CHECK FEE PERMIT FEE OXY
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT 1 1 NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE LJ
ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L7 OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 j' SHORELINES I I
SEASONAL CI FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 ROA ACCESS
be in conformance herewith. M VEHICLE PE IT
r�er — ��Date .
L&I �� ATION BY PLANS CHECK BY A ROVED FOR SSUANCE
\ "c
J�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH