HomeMy WebLinkAboutBLD9947 Final Redesign Roof Structure - BLD Permit / Conditions - 7/14/1983 Hohmann, Leonard #9947
P. 0. Box 187, Allyn 8-24-82
Tr. 21, Section 29 Township 23N, Range 1 W
Center of Belfair, Across from Parker Lumber
Redesign Roof Structure
$7,200.00
jn_ &_Sa. 7f99s'
Shorelines:
Setback:
Special Conditions:
Footing:
Setback.: _
Foundation Walls:
Framing: P /G
Fireplace:
Wood Stove:
Plumbing: d
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY 1 ,;L 3an
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. /
OWNER NAME MAIL ADDR S CITY&STATE ZIP PHONE
Pit/�9�'� �� G G /U �G Z 7
DIRECTIONS h
TO JOB SITE C ��7`�2 O ,�"G //L' CL O S S DIY �/CE� �—UIy
LEGAL T .�i ,/ (❑ SEE ATTACHED SHEET)
DESCR. / G/ Z / SEG'—�/�� / 7�WiV�'r I P 2 3 N �I�W6&
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING RE7W/l- S 7VR E
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION POIREPAIR ❑ MOVE ❑ REMOVE
Describe work:
96
Fs 6/V opt ac-m
Valuation of work: $ PLAN CHECK FEE PERMIT FE&l)
D
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ IDETACHED ❑
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
SEASONAL [! FLOODPLAIN I 1
Firm E.D. NO. S.E.P.A. [1
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 in conformance kere 'th. MOTOR VEHICLE PERMIT
Z APPLICATION ACCEPTED BY PLANS CK BY APPROVED FOR ISSUANCE
Owner Dal /J K(l;
IPLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
1.
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington I
Signature of applicant Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS ---
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH,
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
l'• 7- 31a 3"