HomeMy WebLinkAboutBLD26947 CancelledTank Replacement - BLD Permit / Conditions - 10/12/1995 3 _ 00C:5L-e
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
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Footing: `f
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: r -ass �rS
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TYPE TANK REPLACEMENT
Permit No. phg47 No. Floors Sq Ftg
Owner DEER CREEK STORE Tel 671 DateT7-TT--77
Address E 5 wy 3 Shelton Zip
Contractor Mic e son Const.
Address zip
Legal Description J.0. Eder's r
Direction to project site N Hwy 3 to Deer Creek Store
Plumbing c anica ewer Wood Stove
Fireplace Deck arage arport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED `
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER `O aW V �71��
DIRECTIONS f / ir
TO JOB SITE
PARCEL LEGAL _
NUMBER Z) b1 IDESCR. -Tp �j—
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR n K-G. , , Z _
CLASS OF NEW ADDITION ALTERATION k REPAIR MOVE REMOVE
WORK r
DESCRIBE J�
WORK j l' 7 L / l �v
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIQAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
R ISTR N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE EVE 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFOR NCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPRO L ROM THE BUILDIN PA TMENT.
1 j"`�
X OWNER DATE X B Gt-+ DATE%--� i� v
FOR OFFICE USE O LY
DEPARTMENT Y APPROVEDJO DEPARTMENT YESPPROVEDIO BUILDING VALUATION 0/7(/0
HEALTH oe PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT e:.?[�
D.O.T. BUILDING PLAN CHECK t�, Py 7
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS EC AY PPROVED FOR IS ANCE [CASH
ERMIT VALIDATION TOTAL Off/ 3�BY �/ CK MO