HomeMy WebLinkAboutBLD6079 Final Decks - BLD Permit / Conditions - 4/24/1980 Stewart, Charles M. #6079
Lot 130, Div. 5, Lake Limerick
35 Cromar Ty Court.
New decks on front and back of mobile home
$850.00
�.��-off �l� y/2�/8a
BUILDING 'PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO. 66�19
OWNER NAME MAIL ADDRESS CITYT TE ZIP PHONE
-1 �- 1 3S`
DIRECTIONS JJ
TO JOB SITE `J� d"l'�"f
LEGAL J / _ ` (❑ SEE ATTACHED SHEET)
DESCR. cl
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
,a-1,f 1 4 j, /e 1-1
Valuation of work: $ _ PLAN CHECK FEE PE IT FEE
SPECIAL CONDITIONS:
1-1
`^
BEDROOMS DECKS _� CARPORT [] NOTICE
BATHROOMS TOTAL SO. FT. GARAGE L]
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT l; OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I I DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 I i SHORELINES f
SEASONAL I I FLOODPLAIN ]
Firm
E.D. NO. S.E.P.A. I I
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be i confq�mance t e M R VEHI LE PER IT
(//�/ A P I ATIO EP ED A S CH K BY MD ISS NC
Own D'14ate . I^ JB
PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION CK. M.O. CAS
PLOT PLAN
-79 ADDRESS• �` /1- ((,' , PERMIT NO. l3 f o
= a
LEGAL
n >
x o
0
DESCRIPTION G� > LOT / 3 C` BILK ADDITION �t /C i rZ-1C?,
SITE AREA 10 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 P"ID 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 CIR LE GRA H SQUARES ARE 5' X 5' OR 1"=20'
1v
,a
I/We certify that the proposed construct' n will conform to the dlmensidns and uses shown above and that no changes will be made without
first obtaining approval.
a
ICIl
NAMEW OF OWN ER(SI O 317E !k STRUCTURE(5 (PRINT) IGNA TUBE OF OWNERS) OR AUTHORIZED REPRESE TATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
GHElTON PnTNTIN3