HomeMy WebLinkAboutBLD10551 Garage - BLD Permit / Conditions - 5/8/1981 ALLEN, Pearl #10551
05-08-81
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8/10 mile from Belfair on Old Belfair Hiway - 2nd
driveway across from fourplex
Sec. 20, Twp 23 N, Rge 1 @, Tract 6 of SW1/4 SE1/4
Contractor
H. B. Lindsay
Garage
$7,776.00
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• BUILDING PERMIT APPLICATION
r MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 '/
426-5593 �-
DATE ISSUED
PERMIT NO. �0.�`.5��
AME MAIL ADDRE CITY&STATE ZIP PHONE
OWNER ( ff-In e3 a . t t1� 7s- 213 ,
DIRECTIONS
TO JOB SITE V �4
j ti+ �,r .r i� •,. _ _ 9s�►
LEGAL / / L (❑ SEE ATTACHEfD SHEET)
DESCR. 2 f7 Z 1�ie T CD OF Sw C Z7 S ®O
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR i p l _ , _ ZQ
USE OF
BUILDING
Class of work: EW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ � 7'2 PLAN CHECK FEE PERMIT FEE /� S—U
SPECIAL CONDITIONS: / l(�, �O
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGEZ!1-�
ATTACHED � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE C 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.
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 ❑ SHORELINES ❑ oPOO 611/
I I SEASONAL F FLOODPLAIN ❑
Firm )S m. Q d/V�v, E.D. NO. S.E.P.A. 11
By Special Approvals IN OUT YES APPROVED NO
Lic. No. — DSte —� '� 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
of the Mason County ordinance requirements for BUILDING DEPT. g �/
which this permit is issued and that all work done will ROAD ACCESS
be.In nformance therewith. MOTOR VEHICLE PERMIT
i
6r A LIGATION AC PTED BY PLA CHECK BY APPROVED FOR ISSUANCE
P e(/lQ ��� Date. v l " / BY
Own r
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
it
PLOT PLAN
41
ADDRESS J _ GX / V� �✓' PERMIT NO. f o
i o
11 D
D OO
LEGAL
DESCRIPTION LOT BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 1 0 Sq. Ft.
INSTRUCTIONS TO APPLICANT (Y&f)
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
'S"
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
- 2
j .
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 5 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERIS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PRINT