HomeMy WebLinkAboutBLD15015 Complete SFR - BLD Permit / Conditions - 12/14/1983 ROBBINS, Leroy M. #15015
12-14-83
36-21-3,Tract 1 of Survey 2-49
West End of North Deer Creek Loop, turn right
Contractor
Self 491-2635
Complete Residence
original permit #10424
$25,000.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
PERMIT
NULL & VOID BUXEIRATION
DXTE
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 1 �1 ,(�t_g
DATE ISSUED
PERMIT NO. ( So is
OWNER NAME MAIL ADDRESS CITY&STATE' l ZIP PHONE
DIRECTIONS
TO JOB SITE (� K o o �Z Y
LEGAL. (O SEE ATTACHED SHEET)
DESCR
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING ,E,
Class of work: l>1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ Q�_J PLAN CHECK FEE PERMIT FEE Q^'a
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SO. FT. GARAGE X
ATTACHED X SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L] OR AIR CONDITIONING.
TOTAL SQ. FT, u FIREPLACEX I DETACHED G
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 SHORELINES
SEASONAL I I FLOODPLAIN I
Firm
E.D. NO. S.E.P.A. I i
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I c tify that I a @mpt from the requirements of the FIRE MARSHAL
c ntract or rep' tfi 'ion law RCW 18.27, and am aware
f the as my rdinance requirements for BUILDING DEPT. /g
which th' pe is issu and that all work done will ROAD ACCESS
be in c fo ce rewith. MOTOR.VEHICLE PERMIT
LI ATION ZCEPOAY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner _ Date ./L/�� tj BY
PLAN C ECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH