HomeMy WebLinkAboutBLD0078 Final Gas Island - BLD Permit / Conditions - 11/9/1983 BEYNON, David C. #0078
9-13-83
NE4 of SE-4 of 29-23-1
Behind Arco Station in Belfair
Contractor
S.M.E. Corp. 572-3211
Gas Island
$60,000
. . . . . . . . . . . . . . . . . . .
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing: if /6 / g 3
Mechanical:
Roof:
Exterior :
Interior :
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
C ' -9 N BUG/ r� t� 1LP RMIT NO. O p _
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
S - -4J/
DIRECTIONS �
TO JOB SITE �Oc?lti.c�,0 Au �ffy�id� C rr�rti,,
LEGAL ii (❑ SEE ATTACHED SHEET)
DESCR. .14 se(4 c1 — c
NAME MAIL ADDRESS 1 CITY&STATE! LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: f� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Gf
Valuation of work: $ PLAN CHECK FEE PERMIT FEE p C)
C
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT i t NOTICE
BATHROOMS TOTAL SO. FT. GARAGE I-i
ATTACHED [J SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT i_; OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE L1 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 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 ofWashington and I aware of the FOR OFFICE USE ONLY
ordinance requirements
the regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT , SHORELINES I
SEASONAL I1 FLOODPLAIN L
Firm
E.D. NO. S.E.P.A. I '
B Special Approvals IN OUT YES APPROVED NO
Lic. No. >—y� '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. /
h this permit is issued and that all work done will ROAD ACCESS
e in con�ef with. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS C K BY APPROVED FOR ISSUANCE
Date
.HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. L CASH