HomeMy WebLinkAboutBLD DEMO - BLD Permit / Conditions - 2/1/1982 Shorelines:
Setback:
Special Conditions: --Footing:
Setback: -
Foundation Walls:
Framing:
Fireplace: r
Wood Stove:
Plumbing:
Mechanical: ~�
Roof: '—
Exterior:
Interior:
Final:e/�— 30�
Stop Work:
Mobile HomeRemarks:
'44
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
AME /� MAIL DRESS /� CITY 8 STATE ,/ ? ZIP PHONE
OWNER rC l/Z`1 ( lC$ 117 /��' 7� �1L^1 L�7e� / �J O Z� 3 Z
DIRECTIONS �J
TO JOB SITE &,t
LEGAL �Jf / (❑ SEE ATTACHED SHEET)
D ESC R. S€ C. I� T- /V �L / W ty4l IL S2� J
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
EL T
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: -7
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [: NOTICE
BATHROOMS TOTAL SQ. FT. _ GARAGE
ATTACHED L1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT U OR AIR CONDITIONING.
TOTAL SC FT. FIREPLACE tI DETACHED Li
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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 I I
SEASONAL [ , FLOODPLAIN I
Firm E.D. NO. S.E.P.A. ❑
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
2i APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Q. 7 j Date. C�Ct'or{ j BY I?`/
QIz
K VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
pppppp
1400010
1400040
1400030
Courtesy of
MASON COUNTY TITLE INSURANCE CO.
130 West Railroad (P.O. Box 278) S 2137
Shelton, WA 98584
(205) 42q-07I3
1400050
rQ^
—J
1400060
_. 7r4.
S 121143 4I00I00
t Y SP 963 4190 201010 A?A 4I00
zd t SP 1680 020
W SP 1661 0 1 0
4201020 �° SP 1682 '�` SP 36
P^ 100
030
V) i-
`. 4100 41 901 10
`Y 040
K _g.
4100
090 F 4100050
4290 4290
!� 4100060
030
4290020 010
\`\ v0 4190 4190070 UNION
120 SP 1025
4290 �\
040 SP 1701
\�` 4100080
4390 4390
110 120 S 1152
3400 4390
040 100 4300
4390000 070