HomeMy WebLinkAboutBLD12111 Storage Area - BLD Permit / Conditions - 3/9/1982 BUILDING PERMIT APPLICATION
ti MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3_
DATE ISSUED
92 y 2` 61 v v?ln PERMIT NO. /0? /
�L
NAME MAIL ADDRESS CITY STATE ZIP PHONE
OWNER O/jav S' z),e. CITY ZIP
8 1 O - .7 2 L Z
DIRECTIONS 2 J
TO JOB SITE L�I)/N •sA)Dly /k 3 Zy'D f(eWat C)/V ZT
LEGAL `^'I ,J ^ 1 v p (❑ SEE ATTACHED SHEET)
DESCR. r'Y Yg ArfL A/- X I/il I O -d,3^ 1
NAME / MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR N/A
USE OF _ :ll
BUILDING 4S / 0 9H 67E ��/q tZA C _
Class of work: VNEW Ef ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
PC C)rc_ d
� 77/ 4) P
, D
Valuation of work: CT) PLAN,,CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS _ CARPORT [ y NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE y/ aflg
ATTACHED [l SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SO. FT.I� FIREPLACE i I DETACHED Ll
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 _
I
SEASONAL [-1 FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. I
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
b4in,,,fonormanc ythrewith. MOTOR VEHICLE PERMIT 3
p APP ICATION AC EVz
PLAN CHECK BYG APPROVED FO IS
Owner Date . O p BY n �
PVN CHECK VALIDATION CK. M.O. CASH P MIT VALIDATION CK. M.O. ,CASH
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