HomeMy WebLinkAboutBLD92-01377 Final Pole Bldg - BLD Permit / Conditions - 1/29/1993 ---- ----------
MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE � � C✓� MECHANICAL MOBILE HOME
Footings-Setba date by Ribbons
date of'o?;';1 by Gas Piping date b
FCandation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTI N }�
date by date by l date by
�I
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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L41LDING
PERMIT APPLICATION
MASON COUNTY
NOV 51992 DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
3ENERALSERVICES 427-9670 DATE ISSUED
ID sc,f-2j 1 C, PERMIT NO. $LD9,- 1377
-IfkME _ MAIL ADDR_ESS CITY 8 STATE ZIP PHONE
OWNER clf _ klSut
DIRECTIONS
TO JOB SITE
PARCEL �7-� LEGAL
NUMBER <-_ DESCR.
ME MAIL ADDRESS, CITY 8 STATE ZIP P PHONE _ LICENSE NO.
CONTRACTOR TI rJl L-� (�,,50� i(JL mac' eu�cu� l(�t lO�j' 7Lf3/SSA
�u1
USE
BUILDING
CLASS OF EW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK ]..
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS $ Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt I ATTACHED❑DETACHED❑
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. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FOM THE BUILDING D�EP/A�RTM T.
X OWNER DATE X BY DATE !//2,&2—
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION --
YES NO YES NO • 6
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT 6 ` o
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS r BUILDING GROUP ( PRE-INSPECTION
SHORELINE
f WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE q JS
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ✓
TOTAL
BY CASH CK MO
HOME OF
Town &.Country Suite B• 16521 Highway 99•Lynnwood,WA 98037-3161
POST FRAME BUILDINGS Everett(206)258-4171 Puyallup(206)840-9552
Administrative Headquarters(206)743-1555
— �— o • FAX(206)742-1691 Toll Free 1-800-824-9552
4W DIVISION OF Contractor's Lic. #TOWNCPF099LT
Quality: Our Future Depends On It.'
Site Plan
PLEASE CHECK:
❑Property dimensions ❑Septic and drainfield ❑Access to proposed building
❑Existing buildings []Sewer lines ❑Lot size
❑Proposed building ❑Setbacks of proposed and ❑Elevation of property
El Easements existing buildings El Bodies of water
01�—1 ❑Main road with name ❑Floorplan
Job name: (�(S"� Job Site Address: `��U "1`✓���-7
Legal Description Jf
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I ( RUILDIM",&VISPECTOR
ECTIUAPPROVAL
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Owner has verified and approved the location of accessories,orientation of the building to then Id verges that i'ite sspe�ified in paragraph
B of the contract are shown on this drawing and vice versa. Customer signature: IL
office(.hire) production(canary) production(pink) .'-cu5tomer(goldenrod)