HomeMy WebLinkAboutBLD0235 Final Vision Clinic - BLD Permit / Conditions - 10/11/1985 TYPE VISION CLINIC
Permit No. 0235 No. Floors Sq Ftg
Owner MC KINNEY- Michael Tel27�Date R-7-RS
Address p, 0, Box 505 Re1fair Zip 9R52R
Contractor Jerry Menees
Address 217 So. Cambrian Bremerton Zip
Legal Description Sam Theler's H & G Tr. Lot A Tr. 13
Direction to project site 1 Bl. So. of Dr. 's Clinic,
NE 23160 Hwy 3 Belfair
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines.-
Setback:
Special Conditions:
Footing:Q � s-
Setback:
Foundation Walls:
Framing:
Fireplace.
Wood Stove:
Plumbing:
Mechanical:
In ,�� o r
rinal: �9 8�
Jobile Home:
Smoke Detector:
remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 _
426-5593 G S
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTAC D SHEET)
DESCR.
NAME MAIL A DRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR .��
USE OF
BUILDING e d
Class of work: ❑ NEW XADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE, s 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 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 cer ify that I am a currently registered contractor in WORK IS COMMENCED.
the fate of Washington and I am aware of the FOR OFFICE USE ONLY
ordi ance requirements regulating the work for which
the permit is issued and all work done will be in
Co ormance therewith. PERMANENT ❑ SHORELINES i,
SEASONAL ❑ FLOODPLAIN Cl
Firm E.D. NO. S.E.P.A. L;
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. -S IS -5-$S Q
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. $ S"
which this permit is issued and that all work done will ROAD ACCESS
be in nformanc therewith. MOTOR VEHICLE PERMIT
' p APPLICATION ACCEPTED BY PLANS C CK BY APPROVED FOR ISSUANCE
Owner � '� Date. ,- a ` ,p Y
C /t __ .t
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING