HomeMy WebLinkAboutBLD5921 Final Exempt Storage and Utility - BLD Permit / Conditions - 4/5/1980 Jesfield, Jim #5921
2-29-80
30-23-1 Tr. 24 of G. L. 3
North end of road on Jesfield Tracts, Belfair
Agricultural Exenpt Storage & Utility
IZ3 A 32 Z 12/
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 15?-1
PERMIT NO. 16 ?
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER ..r. 1, ` 'n ZZ
DIRECTIONS ,,�� Y d
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TO JOB SITE /��1?� `�J1 � 1 v cr 'o�{ �y r.�1 v���� �r✓ /1r !:— R,
LEGAL 44 (❑ SEE ATTACHED SHEET)
DESCR. 3 — ICJ r -13
NAM MAIL ADDRESS CITY&STATE t10Efa9E-h}6 PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 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 ❑
C�
�J i/ . - SEASONAL ❑ FLOODPLAIN El
Firm _� �nJ
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No.
i — ° 2— at c�G 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.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED OR ISSUANCE
Owne i=(.vo d/' Date � �Qy /
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION (CK.) M.O. CASH