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BLD16455 Final Storage - BLD Permit / Conditions - 5/14/1985
KING, Joseph W. #16455 1-23-85 Haven Lake Lot 379 4027 So. 270th Kent 1, 98031 854-2072 1750 NE Haven Way 1 Block North of East end of Haven Lake Contractor Storage/Loft None listed $5,000.00 Shorelines: Setback: ,.7 Special Conditions: Footing: Setback: Foundation Walls: 5 Framing: e)tt.�x� �5 Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: Stop Work: Mobile Home: Smoke Detector: Remarks: POT �6� W 2s � 2�7.91' , 37 �� 3 ` BUILDING PERMIT APPLICATION MASON COUNTY t P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER MAIL ADDRESS CITY&STATE ZIP PHONE NAM DIRECTIONS �� /' � l 818C o of r 57 K OF tliril Lif `,� TO JOB SITE r• Ii• !/ LEGAL / (El SEE ATTACHED SHEET) DESCR. �/ G �cT 1_q 377 ']/q CONTRACTOR NAME MAIL ADD SS CITY&STATE LICENSE NO. PHONE USE OF ,p BUILDING STOt C-47 Z— Class of work: NEW ADDI ION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work• ;701 #:2 1 W600 STO 4"r ell-411f< U/ Irl Go , Valuation of work: $ PLAN CHECK FEE P RMIT FEE S©dui 00 S • SPECIAL CONDITIONS: e BEDROOMS I DECKS CARPORT (] NOTICE BATHROOMI TOTAL SO. FT. GARAGE I ATTACHED :� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT G OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ X DETACHED 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 OF ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME 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 p rmit is issued and all work done will be in conf mance therewith. PERMANENT i l SHORELINES SEASONAL I i FLOODPLAIN I Firm E.D. NO. S.E.P.A. I By Special Approvals IN OUT YES APPROVED NO Lic. N Date ZONING PLANNING DEP-r. 3'� 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. .7 3 *, of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT /� J! ��'• O LICA N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner _� Date. O f �� eY�o PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1