HomeMy WebLinkAboutBLD0038 Storage - BLD Permit / Conditions - 10/11/1988 PERMIT 1
NULL & VOID BY EXPIRATION
ShorelineIPA Y 16bing.
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing: i
Setback:
Foundation
Walls:
Framing:pealO
Fireplace.-
Wood Stove:
TYPE STORAGE
Permit No. 0038 No. Floors Sq Ftg 320
Owner BENNETT, Jody R Tel 479-1590 Date 10-11-88
Address 3872 Old Belfair Hwy Bremerton Zip
Contractor None
Address Zip
Legal DescriptionTr 57 Survey 11/17 10-23-2
Direction to project site 1690 Blacksmith Lake Dr
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
16x20
BUILDING PERMIT APPLICATION
MASON COUNTY
t` J DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. 3g
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
� V%e 3 ?7 2 �Z ---
DIRECTIONS y �g Q TO JOB SITE 1 G�Y" o� A t-4)
o-a3-
PARCEL _ LEGAL v
NUMBER I'GtG DESCR. 71
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF �p
BUILDING
CLASS OF NEW ij ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK O f6
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES 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
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. N.� CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
.OBTAINING APPROVAL FROM THE B DING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OW ER �• 4ATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NODEPARTMENT YES NO
BUILDING VALUATION o( Q
HEALTH ,„ PUBLIC WORKS FEE
PLANNING �I r FIRE BUILDING PERMIT ,��
D.O.T. BUILDING r- PLAN CHECK /
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 1z
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION/ y
/� TOTAL
Gvcx BYWr- a"'.Zt(�'� CASH CK MO