HomeMy WebLinkAboutBLD6078 Carport - BLD Permit / Conditions - 3/24/1980 Moran, Myrons #6078
3/24/80
S.W. 1/4, Sec. 35, Township 21, Range 3 West
At mile 5 on Hiway 3
Remove back porch and replace with 12' X 24'
carport. Remove approx 18" X 10' from front of
house to get off of new State hwy, right of way.
ok Variance granted for less than 5' setback
per Jim Connolly.
$1,440.00
BUILDING PERMIT APPLICATION
` MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER N ME MAIL ADDRESS CITY 8 STATE ZIP PHONE
etAr
DIRECTIONS
TO JOB SITE #64S— 3
LEGAL y (El SEE ATTACHED SHEET)
DESCR. S4JJ .i
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ALTERATION CA-REPAIR ❑ MOVE ❑ REMOVE
Describe work: ,p
Valuation of work: $ 4- PLAN CHECK FEE P FEE
S , ITO
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED [7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.� FIREPLACE ❑ 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 ❑ SHORELINES I
SEASONAL ❑ FLOODPLAIN I 1
Firm E.D. NO. S.E.P.A. 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPNVED FOR ISSUANCE
Owner Date. BY ff
PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I