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HomeMy WebLinkAboutBLD20968 Final Dock - BLD Permit / Conditions - 5/11/1988 Shorelines: `�� Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL:, /- Mobile Home: Smoke Detector: Remarks: Footing Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE DOCK Permit No. 20968 No. Floors Sq Ftg Owner PINCOCK, icon Tel 531-9694 Date 9-24-87 Address 7623 Golden Given Rd E Tacoma Zip Contractor Lakeshore Const Address 1750 Trails End Dr Belfair Zip Legal Description Ma ing Sunny Shore Div 6, Lot 76 Direction to project Slte E 2871 Mason Lake Rd E Grapeview Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Dock 294' BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED 1 F PERMIT NO(_� NAME Q MAILADDRESS CITY&STATE ZIP PHONE OWNER /� C1 3cu)" 4eAl DIRECTIONS // TO JOB SITE S?/ 'so'sox/ G-.© , RT AT u 1.-l1l 1Uk1 '_EGAL / )ESCR. T 7Co !1 b 6S '('L 4' 02 - - -r NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR S ak)57= / O lAkUEI Jzl ESE/ USE CF BUILEING T CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORC ✓DESCR �}u wow WO -I 1 BEDROOMS DECKS r✓ CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. �K GARAGE CONDITIONING. NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE AEQUIREME TS 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 CON ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM T E BUILDING DEPARTMENT. X WN DATE X BY DATE FOR OFFICE US ON L DEPA MENT YES APPROVE NO DEPARTMENT APPROVED BUILDING VALUATION YES NO HEALTH PUBLIC WORKS FEE PLANNING C FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK 7 SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION 6 cj p_ 017 SHORELINE d1/ PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE 'PLICATION ACCEPTED BY S C AP IS PERMIT VALIDATION TOTAL CASH CK MO PLOT PLAN ADDRESS 4C?CF71 �j7`1��/� C/ �i PERMIT NO. LEGAL DESCRIPTION f��, LOT BLK ADDITION�G� SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' C �L I/We certify that the proposed construction will eonform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAM[ 1 OF OWN[Rlfl OF SITE 6 3T RUC TURE(3) IP IN T1 ICNAT R F OW RI OR AUTHORIZED REPRESENTATIVE O T 1TE BELOW THl "IN If APPROC�D „ �(DISTRIC ( AS NO OATE V