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HomeMy WebLinkAboutBLD24731 Addition - BLD Permit / Conditions - 11/6/1989 Shorelines: Plumbing: Setback: Mechanica Special Interior: Conditions: FINAL: Mobile ome: Smoke Detector: oo ing: Remarks: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE ADDITION Permit No. 24731 No, Floors Sq Ftg 250 Owner BRADY, Dennis Tel 426-0387 Date ll _6_89 Address 371 0 de Lyme Rd Shelton Zi Contractor e p Address zip Legal Description Lake Limerick Div 4, Lot 218 Direction to project site Above address um ing Mechanical Sewer Wood Stove Fireplace Deck 7arage Carport Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO;=2 ME MAILADDRESS CITY&STAT ZIP PHONE OWNER �z DIRECTIONS TO JOB SITE 4,L�� /� �� �•�© / 0 C_ 7Ae)4— PARCEL LEGAL r NUMBER 2 DESCR. Z � CONTRACTOR A E MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE r') USE OF v BUILDING CLASS OF NEW ADDITION t ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE // C'� O U WORK L/ / 0. !o L t' all- �3 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 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. 2jr& FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERSAF DAVIT 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 REQUIREME S 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 CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. / APPROVAL FROM THE BUILDING DEPARTMENT.OW ER DATE "� �/ X BY DATE,/O 3/_1t y FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YEAPPROVEDIO BUILDING VALUATION -`-- 7�00 HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT So D.O.T. BUILDING PLAN CHECK z f'" SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE OWOODSTOVE ! PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE ' A TIONAGPEPTEDBY P1ANSCH ,K-BY APPROVED FOR ISSUANCE PERMIT VALIDATION L BY -g CASH CK MO TOTAL ��a� PLOT PLAN ADDRESS L �e' ' PERMIT NO. c � 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' rC � VA T—L 2 f a v h T-- !0� 1/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without j first obtaining approval. NAME(S) OF OWNER(S) OF SITE a STRUCTUREIS) (PRINT) tIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE