HomeMy WebLinkAboutBLD13973 Additions/Garage - BLD Permit / Conditions - 5/16/1983 Bakken, Boyd A. #13973
275-4805 5/16/83
Lot 4, NE 1/4, NW 1/4, 12-22-3
North Shore Road from Belfair, right on Elfendahl Pass
Road, left on Collins Lake Road, left on Lower Tahuya R
River Valley Road, left about 2 miles at NE 651 Tahuya
River Road.
Additions/Garage 960 Sq. Ft. Contractor:
Rec. Room 299 Sq. Ft. Hank Bocklie, Bremerto:
$17,610.00 Russian Fireplace
W S1,31143
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: ,r/,("7/7 -3 17
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
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BUILDING -PERMIT APPLICATION '
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
000� / DATE ISSUED
PERMIT NO. 3
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
FF3 '40A 8 fficweN N c— &s a Z Y S"8 6 Z-7,--yk�.r
DIRECTIONS 114OC'41A S►faNG FW ft F(►Or" BE-LF4r4l.) / /N T UA/ G�j-Vi-blttL
TO JOB SITE caL-'-- J LZ-:7 T OW 1o.60ri /j:vC- ✓AN L- LD LET Zwl.
LEGAL. (❑ SEE ATTACHED SHEET)
DESCR �l _ a _
CONTRACTOR NAME i MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
oC -L -6 Inc-.wv
USE OF
BUILDING R C-,S-To C--W CC-
Class of work: NEW `� ADDITION El ALTERATION El REPAIR ❑ MOVE El REMOVE
Describe work: / `
Cw 5- A 6e__
TX-#iC_ k f-vr As�-r-k. s YS -r✓!. w S `X/ Od
a& = 8;9-46.oa _� �, d o0
Valuation of work: $ Is PLAN ECK FEE PERMIT FEE
Gio.oa
SPECIAL CONDITIONS:
BEDROOMS_ ECKS CARPORT [l NOTICE
BATHROOMS TOTAL SO. FT. GARAGE
ATTACHED i ; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT !: OR AIR CONDITIONING.
TOTAL SO. FT. J21PLACE : DETACHED Ll
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
C TRACTOR 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 Ala
SEASONAL [ I FLOODPLAIN 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 r
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
S- e3 PLICATION ACCE TED BY PLANS CHECK BY APPROVED FOR ISSUANCE
OwnerPe
Date , G e ��
P CHECK VALIDATION CK M.O. CASH IYERMIT VALIDATION CK M.O. CASH