HomeMy WebLinkAboutBLD14370 Cancelled Addition - BLD Permit / Conditions - 7/13/1983 Lyrch,. *Samuel. B. #14370
426-3762 7/13/83
Lake Limerick, #5, Lot 87
Turn in on Olde Lyme Road, go to Kilmarnock Road, E 90
Addition Contractor:
504 Sq. Ft. , Porch 204 Sq. Ft. Domestic Dwellings
$16,140.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing-.
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior :
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
PERMIT
MALL R ynm BY EXP!R O
OATE ------ -
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER J NAME i MAILADDR SS I ATE IP PHONE
VL
z Jr.
-! A 12, I-IIAJd "
DIRECTIONS ._.a
TO JOB SITE u N �/Yf �'
LEGAL 6 (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF BUILDING d 1n e st f
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
tT
i r
Valuati n of work: $ PLAN CHECK FEE y PERMIT FEE
SPECIAL CONDITIONS:
d,'ti ko C
BEDROOM I DECKS CARPORT G NOTICE
BATHROOMS I TOTAL SO. FT. GARAGE ❑
ATTACHED L1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES `— BASEMENT Li OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I DETACHED C
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 _
SEASONAL ! FLOODPLAIN
Firm
E.D. NO. S.E.P.A. [
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 UILDING DEPT
of the Mason County ordina a requirements for 1
whi this permit is 'ssued and tall work done will ROAD ACCESS
in onformanc t erewith. MOTOR VEHICLE PERMIT
l(� ICATION AC PTE BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owne B
JpLV CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH