HomeMy WebLinkAboutBLD4993 Cabin Shell - BLD Permit / Conditions - 9/24/1976 DePaul , Lawrence #4993
9-24-76
Collins Lake, Div. 1 Lot 49
Cabin Shell
$2,800.00
• De- Pa u L
K - BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584 /
DATE ISSUED
PERMIT NO.
- -T- -_-- - -AIL ADDRESS --
OWNER
DIRECTIONS /� / Ce 1� /�� 2 Z
TO 10B SITE Lc /
LEGAL MAIL ADDRESS ZIP (L1![[ATTACHED fN[tT)
DESCR. f-1
{ MA�ILr,�e.�r�� 7 '"<CONTRACTO
- J - /3- 203 J
USE OF MAIL ADDRESS PHONE LICENSE NO.
cz�'G
BUILDING i h
Class of work: VNEW ❑ADDITION L1 ALTERATION 0 REPAIR ❑MOVE ❑ REMOVE
Describe work: '�
co t, C Z hu F aiyt Jh 5 fl C� � -z/C � d
s 20 1 Y2 y `�
Valuation of work:$ �I+� PLAN CHECK FEE -- t�
Z �� PERMIT FEE e
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
_ 7 Tope of Occupancy
� Const. � Group r Division
-- i "-' Size of Bide. �/ No.of Max.
(Total)Sq.Ft. j � Stories Occ.Load C
CONTRACTOR AFFIDAVIT Special Approvals Required ReceivedNo—t-We—quIred
I Certify that I am a currently registered contractor in the State ZONINd
of Washington and the County of Mason and I am aware of the K^LTH DKPT.
ordinance requirements regulating the work for which the permit K6
is Issued and all work done wi:l be in conformance therewith. FROAD DKFBT.
Firm Ufa/ a O C
By r�/
2 fog/—jj�-2 / —�73"✓/Date A Zv j
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract,
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
Owner Date THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
SHELTON PRINTING CO.
Cc.c� r
` 9 BUILDING PERMIT APPLICATION
MASON COUNTY
AAL) ��j-�33a P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED 23—a
PERMIT NO. 5�
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
5A, O(JA41A,),S
DIRECTIONS
TO JOB SITE �d Q (� S
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �' O 06 NS A A NO /
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING S C
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
OE.0 A'd om AO d
Valuation of work: $ �//s/i7. D� PLAN CHECK FEEL PERMIT FEE f6; 5
SPECIAL CONDITIONS: p(h
BEDROOMS {DECKS _ CARPORT ❑ NOTICE
BATHROOMS I TOTAL SO. FT. _ GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES-2— BASEMENT [-I OR AIR CONDITIONING.
TOTAL SQ. 1`7116A FIREPLACE ❑ DETACHED D
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 FOR A 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. PERMANENT i i SHORELINES I
SEASONAL [ I FLOODPLAIN I I
Firm E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date 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 aware6�16 '2
of the Mason County ordinance requirements for BUILDING DEPT. tf
w h this permit is issued and that all work done will ROAD ACCESS
e i conformance there ith. MOTOR VEHICLE PERMIT
A CATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. '82 B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION I CK. M.O. CASH