HomeMy WebLinkAboutBLD9913 Final Garage, Storage - BLD Permit / Conditions - 11/9/1983 Beynon, Dave #9913
275-3211 6/22/82
28
All that portion of NW 1/4, SW 1/4, N-23-1, EX.
Highway 3, about 1/4 mile north of Arco Station.
Garage/Storage Contractor:
30'x96' Willows Lumber Company
$23,500.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foutidation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Stop Work:
Mobile Home:
Remarks:
I'�
I
'R BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 •
DATE ISSUED
r
PERMIT NO. �'"�
OWNER NAME MAIL ADDRESS _jy_ I- CITY&STATE ZIP PHONE
V: � V F
DIRECTIONS
TO JOB SITE
LEGAL (F] SEE ATTACHED SHEET)
DESCR. �' y
NAMEV MAIL A[5DRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR ,
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ s PLAN CHECK FEE PERMIT FEE
.,�,
SPECIAL CONDITIONS:
BEDROOMS I DECKS— " CARPORT i] NOTICE
BATHROOMS _ ITOTAL SQ. FT._ttbQ_ GARAGE r i
ATTACHED Ll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT l OR AIR CONDITIONING.
TOTAL SC FT. FIREPLACE f DETACHED i l
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 r
f SEASONAL U FLOODPLAIN Ci
Firm ?" t
i / E.D. NO. S.E.P.A. I I
By A" t!"( ►t x�. /� i; .,. Special Approvals IN OUT YES APPROVED NO
ZONING
Lic. No:'P Date
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
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
I /_
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
PLOT PLAN
ADDRESS a d /\ s' � SIP— /l /7 � � PERMIT NO. 4 0
n s
a o
LEGAL
DESCRIPTION LOT BLK ADDITION
/ u
SITE AREA 4' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Ige"C -t Sq•'Ft• i i
INSTRUCTIONS TO APPLICANT
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"'D 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES AREZ-X=3`t4R 1"=20'
,
.y
v.
-t
t
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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.
D ve 8(2 Y/1141��Lla�av
NAMEM OF OWNERM OF !I a aTRUCTUREM (PRINT) IG ATURE OF OWNERIS) OR AU THORI2 ED REP E ENTATIVE
O NO BELOW HIS LINE
APPROVE
DISTRICT AS NOTED DATE p
SHCLTON PRINTING