HomeMy WebLinkAboutBLD23389 Final Alteration and Repair - BLD Permit / Conditions - 8/1/1989 � 4
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: 6-x �,� �-r- /
Mobile Home:
Smoke Detector:
Remarks.
Footing: A4 l-111- le 70
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE ALTERATION & REPAIR
Permit No. 23389 No. Floors Sq Ftg
Owner REED, Gary Te1454-6409 Date 3-1 -89
Address ver a e r Medina Zip
Contractor Ma endorf Const
Address P 0 Box 180 Hoods port Zip
Legal Descrip ion Li liwaup Tr 3-B
Direction to project site End of Lilliwaun St. Last
place on left.
Plumbing c anica ewer Wood Stove
Fireplace Deck Garage �arport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED Op
PERMIT NO.C� Z-2 U
OWNER
NAM MAILADDRESS CITY&STATE ZIP PHONE
�
DIRECTIONS
TO JOB SITE �sr�
PARCELp // LEGAL
N U M B E R .3 / c 7 �� ' D ESC R.
C � NAM �. MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRA
USE OF 1
BUILDING.
CLASS OF NEW ADDITION ALTERATION REPAIR ✓ MOVE REMOVE
WORK r
DESCRIBE /
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, 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 r —
SEASONALVIT
OWNERS AFFIDAVIT CONTRACTORSAFFID
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER DATE X BY
.�s-� DATE -"
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK Al/9
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE ,
APPLICATION ACCEPTED BY PLANS CH!5.K BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO