HomeMy WebLinkAboutBLD14080 Final Addition to Clinic - BLD Permit / Conditions - 8/4/1983 Viewmont Properties M X #14080
No Phone Listed 6/3/83
Sam B. Theler's Home & Garden Tracts, 9-11.
1/2 mile south of Old Belfair Highway, Hwy 3 junction.
heading north, right hand side
Addition to Clinic Contractor:
10'xl2'6" Bruce Construction, Ii
373-2591, Bremrton
$6,250.00 COMMERCIAL
I
Shorelines:
Setback:
Special Conditions:
Footing: G S- 3
Setback:
Foundation Walls:
Framing.L"XG/�-2 8-5
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final: ex,-R- +/ 3
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION
�. MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
w ai I�Ro of 71 e �0•rf3 5Y& r3-�L Ra�.� f-�/� z
DIRECTIONS I I {-l-C�f/,0�� 't A10
TO JOB SITE SU o-� DC p Re fo•12 //w 14"_ i_'T -e_.
LEGAL / 72. aJ— (❑ SEE ATTACHED SHEET)
DESCR. 54M. G. / h e L eR /UO l Al -ed C'¢*zOG'V 72. '2 e �'`
T -C
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
13 fZ�cC� �S �C h.c�on/ a wc. //0 5 Cu7`7`/�'C. ��-G tx�'t1�F. 73'25
USE OF
BUILDING C,
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work PLAN CHECK FEE PERMIT FEE 5-e-,
SPECIAL CONDITIONS:
BEDROOMS DECKS — CARPORT C NOTICE
BATHROOMS TOTAL SO. FT. GARAGE [_!
ATTACHED LJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT fJ OR AIR CONDITIONING.
TOTAL SO. FT/?s FIREPLACE i l IDETACHED L;
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT : SHORELINES IJ
/� SEASONAL FLOODPLAIN 1
Firm 2 K-C+C .t c. c� C-
E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No. 'OR cc C-ebr 39L3 C Date s' 3/- P3 ZONING
PLANNING DEPT.
HEALTH DEPT. �3 •2�$
OWNERS AFFIDAVIT PUBLIC WORKS (a 3
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. G�3
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LIGATION A T D�Y PLANS CHECK BY APPROVED FOR ISSUANCE
Owner __ Date . � 'G n BY�,t` '
�tLN HECK VALIDATION CK. M.O. CASH IWRMIT VALIDATION CK M.O. CASH