HomeMy WebLinkAboutBLD0058 Final New Truss System - BLD Permit / Conditions - 1/19/1984 Whybark, Steve #0058
275=3446 7/19/83
30-23-1, Lot 3, Block 1, Mission Creek
Top of Mission Creek Road, 1st house on right at
Rainbow Lane, NE 20 Chinook Belfair.
New Truss System & Roof Contractor:
Clearview Const.
$6,500.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:—
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior :
Final: I. /9- 611/
Stop Work:
Mobile Home:
Smoke Detector :
Remar ks:
i 1
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•BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 7 D
PERMIT NO. f 1Quf>
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
_ t _ 34 .`
DIRECTIONS
TO JOB SITE eCA< ` IZ
LEGAL (❑ SEE ATTACHED SHEET)
DES 0
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR IC4-KA'av F
z75
USE OF
BUILDING _
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
s
Valuation of work: $ /n �O PLAN.JHV K F P RMIT FEE
SPECIAL CONDITIONS:
BEDROOMS 7— I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
SEPARATE RE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES___ BASEMENT ❑ ATTACHED L] OR AIR CONDITION CONDITIONING.
TOTAL SO. FT.S9ZZ FIREPLACE ❑ DETACHED C
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith.c PERMANENT I l SHORELINES I I
GLE14� /�� ���S,7—I SEASONAL [] FLOODPLAIN
Ll
Firm
E.D. NO. S.E.P.A. L7
By �v(�( p Special Approvals IN OUT YES APPROVED NO
Lic. No.L ✓ ���� Date 7 O 3 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County o din a requirements for
which this p mit is issu a all work done will ROAD ACCESS
be in c c th wit MOTOR VEHICLE PERMIT
]_ r� e%. APPLICAT CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date./ /1 !/ /��zJ��� ev
PLYk _/ L_
CHECK VALIDATION CK. M.O. CASH ` PERMIT VALIDATION CK. M.O. CASH