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HomeMy WebLinkAboutBLD29201 Pole Bldg 36x24 - BLD Application - 10/2/1991 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. --/� OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHON Na n� f i b05 Bel ;r "r W 9 - DIRECTIONS /f c !!t TO JOB SITE % mile- rd emerf n -From J 1'e . lnkrs"on, E l rive V on left- s 'de of didr -kiro giveaway/Ts ac-ross roa'Amd ARCEL LEGAL NUMBER Q 3 OOM DESCR.1 T S W t NAME MAIL ADDRESS CITY&STATE ZIP PHONE o�-�6 LK:E*ENO. CONTRACTOR OVUNE t pid Bel i� �e it wA 9��� - N USE OF I BUILD N e G �o Conskachon Oar orf' e Shed CLASS OF I <-j --[ NEW V ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCR WORKIBE ` & ell / fbledutl4ra-clion earprO61vinaaei M 5 'dInq n � nM-ion 3- 50red eo doom1 . witWowselerjtj�j4 or 1 mbi n srvtl�\-�- AREA: NU ER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS Ft BATHROOMS SEASONAL RES.a COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR �I ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE/ GARAGE SgFt ATTACH O DETACHED OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT N/A I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENO BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT 0 ✓ D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE AP ICATIONQACCEPTED BY PUNS CHECK 1BY� APPURDF ISSUANCE PERMIT VALIDATIONTOTAL BY �' CASH CK MO • BUILDING; F'tKMI I t-'LU i rWI-4 MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED — _— T > PERMIT NO._ _ ._--- — r/- - - - - - CITY8STATE -- -- ZIP PHONE NAME �� MAIL ADDRESS OWNER ' �I�Ivf in E�r_NI✓(,'C� .- ���I�I &'I.E�.�►'.._ U�_- cl ►►' W �5 7J""1fCC7 DIRECTIONS J�y� 1. / l aJ TO JOB SITE }Ill le_1twarel._Ztt.t rkn l k �A1 6M NG'►' �1_S Enc c�ri u(J �)A on left- Slcle © co �3NIEz'�tl- j tcl�/ �iCYvss ►'rx� rc e r -I PARCEL I a.3'�'().��'3 DESCR. l TIC L) Q1" J� v NUMBER ��(J �v LEGAL Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances iron; foundations O Location of proposed construction on property. O Building & septic system setback distances from all property lines & easernerlts. O Well and water line. Indicate North O Saltwater, lakes, rivers, shrtait's, welland", tlr;lin;t{Irl In Cltclu 0 Attutat t;u{ty of ZIL)P"t; t3y�lultl "u:3 lntlll" of au{�Ilr; {rutnlll u{everse side. ul. O Indicate topography profile of property and structure on reverse r r � p o o - - p v E - - - -- - _ $ o G, n es will be made without rirst obtaining approval. I/We certify that the proposed construction will conform 10 the dunensrons and uses shown abov and that no c 0 SI ATUR - F OWNER(S)OR WdTHORILtu KEPRESENTATIVE DO NOT WRITE BELOW THIS LINE_—_— APPROVED DATE DISTRICT AS NOTED - PaL-,E 13u����ti� T1Zf-ATED 4 "'X �.� CA: 1L' e£Av;�;z � $�lr���� e D EP (/LT-e7-A � 'fl6c,-6LE Z`'X / L`' Tb ?ZtDGE- Fo Wl8JZACf-s /Ae,o-osS RID6�f- Z"z 41' 7-aP PI-A TX. 4 -/Z P PocF Z 6 G 4 $TEFL eau 3 S/DEs RooF 2,X c I 7-9LA7-t D Z)(6 BAs E, gPRRo,� �t FT i !-L, l i' 12 I I ( 9"RkMb 3�" pEEP I ( ON /2'-0'1 CENTERS I L?y�- �'� I /2 k_ _. _ _ L- LIS 12'-o" Z9 GA STL 41 A A N a I I x N N 40 I iv o PLAN VI Fw Se-Ata / "= /of L9 6:A PA KrLD Sr£€L -1-- RcI©F Y S i D/N'G 14 e) v£R 14An3c-- TVA re y X 6 BL(Zaito TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE - - - ti ` 6 -ENEPAL SFA // O Ile NE cos ova zdld;ILI Se�n.� to •2-qr �rov