HomeMy WebLinkAboutBLD20782 Reroof - BLD Permit / Conditions - 8/20/1987 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL: Ine
Mobile Home-
Smoke Detector:
Remarks•
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE RE ROOF
Permit No. 20782 No. Floors Sq Ftg
Owner JACOT, Arnold D Tel 426-3620 Date 8-20-87
Address E 5291 Hwy 3 Shelton Zip
Contractor Self
Address Zip
Legal Description Tr 2 SW,SE
Direction to project site Just past 8 m1, marker on Hwy
3 on left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
24 sq comp
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUE
PERMIT N0.
NAME MAILADDRESS CITY BSTATE ZIP PHONE
i
OWNER ic'tic L ",�o / :d mac'`/ivj
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DIRECTIONS
TO JOB SITE QJ� ) ✓7� /P /`� I nP� 'I7 1 J Oi" /P
PARCEL _ LEGAL %
NUMBER DESCR. �-
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR L
USE OF
BUILDING fS /71 C
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK I ✓L C. eD /
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY CHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OW ER DATE ? f/ X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED
DE TMENT YES NO YES NO DEPARTMENT BUILDING VALUATION
f
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK SY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL �/