HomeMy WebLinkAboutBLD9029 Final Shed - BLD Permit / Conditions - 4/20/1976 Finnerty, William P. #9029
3-23-76
Beard's Cove #4, Lot #39
Shed 12 x 20
$740.00
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BUILDING PERMIT APPLICATION �
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 99584
DATE ISSUED '
PERMIT NO.
OWNER / r MAIL ADD ESS ZAP PHONE
DIRECTIO� t
TO 10B SITE
LEGAL MAIL ADDRESS ZIP (f ]SEE AYTACHED SWEET)
DESCR. � � -- -1_ —
CONTRACTOR MAIL ADDRESS PHONE
USE Of MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE
-- Describe work: - ------ —_- - - --
Valuation of work: $
PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPjiOVED FOR�fSSLIANCE BY
Type of Occupancy %
Yit�.eJ LE1e�z� ,J, �l� Const. Group Division
V fL7-(_Lwv
—--- -- -- Size of Bldg. / No.of Max.
(Total)Sq. Ft. �n Stones Occ.Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor in the State ZONING
of Washington and the County of Mason and I am aware cf the HEALTH DEPT.
ordinance requirEments regulating the wcrk fcr which the permit POOLIc WORKS
Is Issued and all work done wl:l be in conformance therewith. AMD CJEFpr.
Firm
By — - -
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract, _
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued and that all work done will 1)e in conformance therewith. N O T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
Owner �- •(.� Date THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHELTON PRINTING CO.
s PLOT PLAN
ADDRESS PERMIT NO.
'7
LEGAL
DESCRIPTION LOT , / BLK ADDIT10N
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
— T
24
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVEDk—DISTRICT AS NOTED n.<P �f t—t.�✓ ee DATE _ —�6
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