HomeMy WebLinkAboutBLD28858 Final SFR - BLD Permit / Conditions - 12/5/1991 pry 1
Shorelines: Plmbing� � E
Setback:
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Mechanica a�
Special Interior
Conditions: FINAL: �._�
Mobile Bane:
Smoke Detector:
Remarks.-
Setback:----A5 f 4,+YoLu-X-2
Foundation
Walls:
Framing:a}r_
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 28858 No. Floors 1 Sq Ftg 1008
Owner James U om Tel 427-7210 Date 8 21 91
Address SE resent r elton Zip
Contractor r son omes
Address
ipLe al escri tion eunerc: Lot 6 Dim
Direction to project site a e imeric on !]'Ilde L e P.
um ing x Mechanical x Sewer tove
Fireplace Deck =arage x carport
Basement Loft Other
STOCK ��
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED —a '
-91
PERMIT NO. M S
NAME MAILADDRESS CITY&STATE ZIP P ONE
OWNER James D.L. & Lynn D. Ullom/ SE161 Crescent dr Shelton,WA9858 427-72 0
DIRECTIONS
TO JOB SITE Lake Limerick, OAS:.: Olde Lyme Road
PARCEL LEGAL
NUMBER 32127-54-00056 DESCR. Lot 56, Division 5 Lake Limerick
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR Fredson Homes,Inc. ,12JQ Shelton-Sprngs FREDSHI142N1 427-5399
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ X
DESCRIBE
WORK New Construction
IF
BEDROOMS 3 DECKS YORN CARPORT NOTICE
TOTAL SQ.FT.
BATHROOMS 1 DECK GARAGE ■- -gyp, SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
TOTAL SO.FT. TOTAL SQ.FT. CONDITIONING.
NO.OF STORIES 1 BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA 1 003 BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
7CERTrWF7Y7,EXROM
RS AFFIDAVIT CONTRACTORS AFFIDAVIT
M EXEMPT FROM THE REQUIREM F THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
AW R AND AM AWARE E MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
FOR WHICH THIS P UED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CE THEREWIT CHA SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OVAL F E BUILDING DEPARTM APPROVAL FROM THE BUILDING DEPARTMENT. Q
XOWNER DATE XBY DATE r
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
33
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ru
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP R3 PRE-INSPECTION
tat SHORELINE
WOODSTOVE
PLUMBING �� •
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ^�
�' .q �Ilr'G/� BY C CASH CK MO TOTAL S(,(
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DIL D E L yti °
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5-9-91