HomeMy WebLinkAboutBLD69 Final Repair - BLD Permit / Conditions - 8/28/1979 Severson, Chris #69
8-2-79
Hyw. 3 29-23-1 Tr. 27 SW SE
Repair(replacing sheet rock & insulation)
$1, 500.00
�0,.70
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �� 79
PERMIT NO. (/O }
OWNER ,' NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL If (❑ SEE ATTACHED SHEET)
DES 17
�dAM_E MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTO
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ TE ATION K R PAIR ❑ MOVE ❑ REMOVE
Describe work:
Y%drza& IS& `-) e_7 y
Valuation of work: $ l r ��i PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS--- CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT LJ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE [I I DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 [1 FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. f 7
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
1 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 herewith. MOTOR VEHICLE PERMIT
2
Date. �� c LIGATION ACCEPTED", /"I
PLANS CHECK BY AP OVED FOR ISSUANCE
V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 / -
DATE ISSUED
/ Z 0? l V PERMIT NO. Z2 ��/'/
OWNER NAME MAIL AD R SS CITY
&STAT�A 98310 ZIP 373-76f1QNE
Chris Severson 4130 1 ti Bremerton,
DIRECTIONS
TO JOB SITE Wood Shed Tavern Belfair acr&ss from the Puget Sound National Bank.
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 2pM9-23-1 - Tract 27 SW SE
CONTRACTOR &ET1n E MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
nniS Hallett PO Box 762 Belfair, WA. HA-LL-EC-*226LV 275-3128
USE OF
BUILDING Business
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION )U REPAIR ❑ MOVE ❑ REMOVE
r
De cribe ork:
Verparr-Replace wall that was run into by a car.
Work to be done to code as suggested by inspector for mason county to include
insulation ig in the repaired wall to be Ril
Valuation of work: $ �����. PLAN CHECK FEE ��— PERMIT FEE
iJ
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. 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
conforma ce therewith. PERMANENT ❑ SHORELINES iJ
SEASONAL El FLOODPLAIN
Firm G E.D. NO. S.E.P.A. [_
By G l Special Approvals IN OUT YES APPROVED NO
Lic. No. Date -� —dCJ 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
o e Mason County ordinance requirements for BUILDING DEPT.
hich this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. M T09 VEHICLE PERMIT
AP A ION ACC PT Y PLANS CHECK BY /APPRO D FOR I NCE
Owner Date, %` ( BY K
V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Q�CK M.O. CASH