HomeMy WebLinkAboutBLD11262 Final Deck and Roof - BLD Permit / Conditions - 9/4/1981 NELSON, Maynard J. #11262
E. 5881 Hwy 3, Shelton 08-20-81
Deer Creek Stone
36-21-3, Tract 6A of Tract 6 of J. 0. Echer's D.L.C.
Deck and Roof
Contractor - Self
$1,440.00
t
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED rd
e 1ST PERMIT NO.
OWNER NAME � 0 C S T ZIP PHQN��
DIRECTIONS
(/X)z
TO JOB SITE
LEGAL yy / , / (❑ SEE ATTACHED SHEET)
DESCR. �
NAME L ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING ,
Class of work: d NEW NADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
'9"y,
'7 �•% '0S5 —
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS_ _ CARPORT K NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE i i
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ElNO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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 1 SHORELINES i
SEASONAL f 1 FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. ❑
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
pf 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 APPROVED FOR ISSUANCE
Ow er _. Iq ate
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH'
I