HomeMy WebLinkAboutBLD30101 Final Dock - BLD Permit / Conditions - 1/30/1992 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final: vL�t t
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #3 - LUM TYPE: DOCK
Owner: GRABICKI, PHILIP Tel: 337-3616 Date: 03-24-92
Address: 5727 140TH PL SE, EVERETT 98208
Permit #: 30101 Floors: 1 Sq Ft: 2414
Contractor: SELF
Phone:
Legal Description: MADINGS SUNNY SHORE DIV 6 LOTS 82\83
Direction to job site: E 2971 MASON LAKEDRIVE EAST MASON
BENSON RD TO E MASON LAKE DR E NORTH TO PROPERTY
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: ORIGINAL DOCK TO BE RE)4OVED
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 2 Q
427-9670 DATE ISSUED J )) 1
PERMIT NO. 3Ol U(
NAME MAILADDRESS CITY&STATE ZIP PHONE 7Zj—y6/
OWNER �tiP �i�/ —/ 0 l, A15V&ofK 41A WA4er
DIRECTIONS
TO JOB SITE 71 /_)/1z, /�f/ „� .�c%.,Se'•..> g,
PARCEL LEGAL
NUMBER _ jy DESCR. S
NAME MAIL ADDRESS CITY 8 STA E LICENSE 0. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW �/ ADDITION ALTERATION REPAIR MOVE REMOVE
✓WORK
DESCRIBE ,.
WORK
BEDROOMS DECKSag CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, 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 1 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
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. Q APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER 1 DATE _/�< �- X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION J
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK f
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
f Ad
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROV FOR ISSUANCE PERMIT VALIDATION
LOV71514, 1/� A� BYQ CASH CK MO TOTAL a5