HomeMy WebLinkAboutBLD0421 Final Shop Storage - BLD Permit / Conditions - 9/27/1988 TYPE SHOP & STORAGE
Permit No. nz,21 No. Floors 1 Sq Ftg 480
Owner EPPERLY, Frank D. Tel 876-6172 Date 7-15 86
Address P L 0, Box 5234 Bear Creek,Wn Zip
Contractor Self
Address Zip
Legal Description Tr 15 N-1/2 10-23-2
Direction to project site
_- NE 540 Blacksmith Dr.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
20x24
Shorelines: A)
Setback: Mflchani
Special Interior: Chi z io s
Conditions: FINAL: {) 11A: !;Z-..2,
Mobile Home:
Smoke Detect
Remarks:
Foot'nngg
Setbacki
Foundation
Walls:
Framing: ,-e //y/J 9
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED 5 a L
PERMIT NO. e LY
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER tY n urJ 23 E r 'r U),-zs4 q 5 5721 E:74 2-
DIRECTIONS
TO JOB SITE L- `�U ,[�/aC !",
LEGAL ,]
DESCR. —
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF /
BUILDING p fllvCl S �+ f7 c
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE y
WORK 0a _? S/Gi c. j r'c 'S h irJ -C
to
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. q GARAGE CONDITIONING.
NO.OF STORIES L 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 YAM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION VV RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS OR 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 CONFOR"THEBUILDING
SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING ATMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNETE /� ��; XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION O U
YES NO YES NO '� ���•
HEALTH PUBLICWORKS FEE
PLANNING FIRE BUILDING PERMIT SC s-
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �'_ PRE-INSPECTION
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
A\PLI AT19LL CEPTED Y PLA SC ECK BY j APPROVED FOR ISSUANCE PERMIT VALIDATION
(/ /) ice BY A/- CASH CK MO TOTAL
I
MASON COUNTY
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel No.
1.
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant Address Application date
L�GAl-DESCRIPTION r'/' IF
Location ,C
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS C
BASINS C�
BATH TUBS
SHOWERS LSD
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT C' SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit tee Date pemit issued Permit number Receipt No.
CHRISTMASTOWN PRINTING
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