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HomeMy WebLinkAboutBLD22706 Final Sign - BLD Permit / Conditions - 9/22/1988 I Shorelines: Plumbing: Setback: Mechanical : Special Interior: Conditions: FINAL:e,<-9 Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE SIGN Permit No. 22706 No. Floors Sq Ftg Owner FISHER, Dave Tel 275-2801 Date 9-9-88 Address P O Box 636 3elfair Zip Contractor Faith Const Address E 19550 Hwy 106 Belfair Zip Legal Description Sam Theler Home & Garden Tr 12-A Direction to project site From Belfair substation 1/4 mi. West toward Shelton Right side of Rd Hwy 3 Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 7x14 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED /► / PERMIT NO.o�1 / CJ TO OWNER AME MAILADDRESS CITY&STATE ZIP PHONE DIRECTIONS l TO JOB SITE /Om 1091 /e/ cs' Of ©t r ' 3 PARCEL o� LEGAL _ _ N U M B E R�p�.'� � DDa;� DESCR. L• l Z f sum 1v�� ,�� 6 .a/� erne 2G NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR - v %9l T /'y "�- Z S� USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR �� MOVE REMOVE WORK ✓ DESCRIBE WORK X BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE S/Ic SEASONAL OWNERS AF AVIT CONTRACTORS AFFIDAVIT I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATI LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN Co MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTA NNI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. 40 NER DATE X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION 42l2- YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING wk PLAN CHECK , SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY�/< CASH CK MO TOTAL PLOT PLAN ADDRESS PERMIT NO. s 0 z • n > a o LEGAL DESCRIPTION LOT BLK ADDITION 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 AND 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' � r I/We certify that the proposed construction will conform to the dlmonsidhs and uses shown above and that no changes will be made without first obtaining approval. IAME(S) OF OWNER(!) OF SITE S STRUCTJRE(S) (PRINT) JIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED )TRICT AS NOTED DATE