HomeMy WebLinkAboutBLD6706 BLD11252 Sheet Metal Shop - COM Permit / Conditions - 6/23/1980 Paradise, Anthony #6706
6-23-80
Lake Limerick, Div. 4, Lot 175-A
Plumbing Permit
Sheet Metal Shop (Commercial)
(No occupancy until bond for paving )
$27,200.00 Mechanical Permit #11252
Issued 8-19-81
16
BUILDING PERMIT APPLICAPON
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 —,2 3 RZ
DATE ISSUED
PERMIT NO.
OWNER AME MAIL 9DDRESS CITY&STATE ZI PHONE
DIRECTIONS 1 /�, - J� r 7/9,
TO JOB SITE / c/ .�/�11e/'�L:k.� �OT/75� "" v — /a K ADO �a� ; Uj—
LEGAL j1 f � � r„/J (O SEE ATTACHED SHEET�py /.t�GJr- S�
DESCR. 7
,S
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR a
USE OF
BUILDING Shot /"r� Q uti�f cec-cJ ` u
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: 0
as-.
Valuation of work: $ �, PLAN CHECK EE. PERMIT FEE
SPECIAL CONDITIONS: cc_' ! _ -e_vIM'tf ed 3/3/l10
Y1 2 GGSe, y Cli6S7c -(7v6
-/,a wP `C! U-S'� S KD
BEDROOMS DECKS CARPORT [I NOTICE—
BATHROOMS- TOTAL SQ. FT. GARAGE I i
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L] ATTACHED [I OR AIR CONDITIONING.
TOTAL SQ. FT FIREPLACE [] DETACHED C
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 SHORELINES I
SEASONAL f I FLOODPLAIN
Firm E.D. NO. S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. No.
Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 in Conformance therewit TOR VEHICLE FERMIT
AP LICATIO E ED B�-Z7PN4SCHE9C*Y APPROVED FOR ISSUANCE
r
ate .
;HECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO C M.O. CASH
PLOW PLAN
AD DRESS / PERMIT NO. C�/ 0 o
i o
LEGAL 1,_,a Ke /� W elf—, GAl
DESCRIPTION 1 U LOT 7s/ / BLK ADDITION p
SITE AREA � Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 3.2,o6 Sq. Ft. 4 t
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.) x
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 A"'D 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.
R
-T
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
r C L L
y
J LI
1
`a 17) h
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w17 16
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I/We certify that the proposed construction will conform to the dimensiclns and uses shown above and that no changes will be made without
first obtaining approval.
i
NAME(S) OF OWNER(S) OF SITE ! STRUCTURE(S) (PRINT) !IGNATURE OF OW ER(S) OR AUTHORIZED REPRESENTATIVE
DON T WRITE SELOW THIS LINE
APPROVEDlezi
AS NOT /J�
I 'STRICT ED DATE C t% O�
i CLTON PRINTING