HomeMy WebLinkAboutBLD0584 Final Canopy Addition - BLD Permit / Conditions - 9/19/1989r
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:,n
Mobile Hame:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE CANOPY ADDITION
Permit No. 0584 No. Floors Sq Ftg 1290
Owner BEY ON, Dave Te1275-4787 Date 11-24-87
Address P 0 Box 566 Belfair Zip
Contractor None
Address Zip
Legal Description Parcel A NE SE 29-23-1
Direction to project site an y s Deli Mart
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1
+ BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED C�� ��-#0+-
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER e-V " U BaX r w ,- 7.;,
DIRECTIONS
TO JOB SITE
PARCEL LEGAL ' c
NUMBER DESCR. l rC�f/ IL �f�
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION
WORK ✓ i ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
7- v� o c ,��
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
PERMANENT SHORELINEct O
SEASONAL
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LA C .27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENT OR WHICH IS 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 CO THEREWI NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING A ROV FROM TH BUILDING DEPARTMENT. Q� APPROVAL FROM THE BUILDING DEPARTMENT.
X WN i DATE J X BY_ DATE
FOR OFFICE USE ONLY
DEPANMINT APPROVED DEPARTMENT APPROVED BUILDING VALUATION r
YES NO YES NO i
HEALTH �;� l' PUBLICWORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING `' PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 13 .-21 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATIONACCEPTEDBY PLANSCHE BY APPROVED UANCE PERMIT VALIDATION VA
�( //
'/ , n BY ,f L Q�4 L�� CASH CK MO TOTAL
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