HomeMy WebLinkAboutBLD14839 Final Sign - BLD Permit / Conditions - 11/20/1987 DOMINGUEZ, Louis #14839
' 10-20-83
29-23-1, Tract 1 of SEk,SEh
Highway 300, Belfair
Contractor
Self 275-5064
Sign
$1,001.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior :
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
L - J
f 4 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 / _ O
DATE ISSUED v
PERMIT NO. `f 4 9 2
OWNER NAME MAILyDDRESS CITY&STATE ZIP PHONE
' ^ter' J v 'c o W I� � LL- e ,' �'S' -z� Z;> c V
DIRECTIONS I �C/
TO JOB SITE (�
LEGAL q 2 l (❑ SEE TTACHED SHEET)
DESCR. p� 1 J — I Tlr 2G�t I O� S� �,� I �+
fNAME h MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR L,6r1rg //o/YrVG.evF_ I.—, 5f IYF--
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ WERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
lGN
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
D c'� �-
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE DETACHED ❑
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 C i FLOODPLAIN i❑
Firm E.D. NO. S.E.P.A. LJ
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
be iD confor er ith. MOTOR,VEHICLE PERMIT
a I
A o /�_26-_�� CATION ACC T BY PLAN CHECK BY APPROVE FOR ISSUANCE
Owner "—``� Date_( M Ida a&I&��r BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH