HomeMy WebLinkAboutBLD10186 Garage - BLD Permit / Conditions - 3/12/1981 Walthall, Eugene #10186
3-12-81
Beard's Cove, Div. 6, Lot 56
Garage ( 24' X 36')
(storage)
$7,776.00
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- ' BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED —3-! /L _
PERMIT NO. Z�
OWNER ^ NAME MAIL ADDRESS CITY 8 STATE ZIP HONE
L`LIC C N w% / 2-7 S
DIRECTIONS
TO JOB SITE ,�'�'Ay-�s- C',4 ✓ /tip , Ile '�,c
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF /
BUILDING 6 4 r- �-c'' — 10Q A-,, •7' ell
Class of work: NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ / p C3_ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
e
BEDROOMS— (DECKS CARPORT ❑
NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE *-"
ATTACHED 7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 f ) FLOODPLAIN I
Firm
E.D. NO. S.E.P.A. 11
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
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. M TOR VEHICLE PERMIT
LIGATION ACCEPTE BY S CHE Y APPROVED FOR ISSUANCE
Owner 3 T BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I
PLOT PLAN
DORESS • SAY S` [ /"� �i /'S �� f 11V�ERMIT NO.
i Flo
LEGAL r5 L h "
DESCRIPTION
LOT 5
F / l BLK ADDITION `f1 "� u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
i
INSTRUCTIONS TO APPLICANT ?
� 1•
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.) C
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OFa-
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION Ak'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'
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I/We certify that the proposed construction will conform to the dimensions and des show end that no changes will be made without
first obtaining approval. 7_�IeOM PRO A"kz 7'O
O'f'q"N F/ELD.
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NAMC SI OF OWNER(S) OF SITE A STRUCTURE(S) (PRINT) IGNATUR OF OWNERS) OR AUTHORIZED REP ES EN TATIVE
DO NOT WRITE E NIS
APPA0 D
DISTRICT AS NO DATE
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