HomeMy WebLinkAboutBLD0637 Storage of New Boats - BLD Application - 4/5/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 _
427-9670 DATE ISSUED
PERMIT NO.
NAME M LADDRESS CITY 6 STATE ZIP PHONE
OWNER f}A/ 8CW1 i coo k'IG5 �.�. �( /�-9 G`S'P�fiwi'e i'ox) 9f8:s -DIRECTIONS
TO JOB SITE 9 qr
,� # /9
PARCEL LE6AL
NUMBER Z�,L. 90! O DESCR. Ol c:
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK 3 S 5 �' �C1
L t� - Aj
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES —L BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
/.rh5 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. 7 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C RTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS FOR WHICH THIS 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 ONFORMANCE THEREWITH. NO NGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB AINING APPROVAL FROli-TA ButcDlNd DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER DATE c$'a�i' X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVED
JO DEPARTMENT YES NOBUILDING VALUATION ,�- OC
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT L C, 5 L,
D.O.T. BUILDING G PLAN CHECK 3 2
SPECIAL CONDITIONS BUILDING GROUP —Z PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
PPLICATION ACCEPTED BY PLANSCH�K BY APPROVED FOR ISSUANCE PERMIT VALIDATION
of /, BY ZJ�!'� TOTAL
CASH CK MO
PARCEL C
That part of the Northeast quarter of the Southeast quarter of Section
29, Township 23 North, Range 1 West, W.M. described as follows:
Beginning at a point South 0*58' East 139.53 feet from the intersection
of the southerly line of Primary State Highway No. 21 with the east
line of said Section 29, thence South 0°58' East 100. 12 feet, thence
South 59°00'30" West 395. 75 feet, thence North 39°46'24" West 242.20
feet to a point on the southerly line of said Highway 21, thence
North 62°37' East 200.00 feet along the southerly line of said Highway
21, thence South 31°05'03" East 122.25 feet, thence North 62.37 East
283.58 feet to point of beginning.
I hereby certify that land descriptions of this short subdivision
are full and correct descriptions of the land divided as they appear
on this short plat.
HOME TITLE COMPANY
D ...-r 17 .. ur c i�orrt t