HomeMy WebLinkAboutBLD92-1043 Cancelled SFR - BLD Permit / Conditions - 6/16/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings: aback date by Ribbons
date a by Gas Pipind date ' b
Foundation Wall date b Set Up
date /c:�'� by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMI!lZlq
/ Walls FIRE DEPT.
date by �`���d date �(.�+� by date by
PLUMBING CG Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date 3-/2 -5 by
Water Line,. FINAL INSPECTION
date by date by date by
6
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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MMON COU=
BUILDING PERMIT APPLICATION
PLEASE PRINT
#I Owner 2nx_ R.c on GL Phone# o�oL 3- 8+Z
Site Ad ess N. E • 37 -, . Ci ty y►u 6., St�.Zip fi
Owner Address /#aoy N E 7!v � Ci ty at Shia Zips_
Li an i tl e Holder O"rn.�iv
Ad s C1 ty St Zip_
Describe Work eS��lo�cL
#2 Contractor Name Contractor Reg#
Address Expiration date
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
4
#4 Parcel No. Ra33 1 - Sa - 000 1 -2-
Legal Description Lvt la II'm !-o,1ca Ilf 0.
#5 Building Square Footage: (existing/proposed)
1st F1 O, / 7co'. 2nd F2 / 3rd F1 / Loft /
Basement C / L Deck 4J3io Garage / Carport /
#bedrooms #ba throoms
Other sq ft /
#6 Use of building ea s;rnal AeSialen c,2.
#7 rpe of Job: New V Add Al t Repair Demolition
Plumbing Only Mechanical Only Woods tove Re-Roof
Bulkhead Other
#8 Plumbing Fixtures Mechanical Fixtures
No. Toilets No. Fuel Types No. Air Handling Units
Bathtubs Fuze < 100K BTU <= 10000 cfm.
Showers Furn >= 100K BTU > 10000 cfm..
Bath basins Furn - Floor Other
LSinks Heat Pumps Evap Coolers
f Dishwasher 3 Went Systems(beME,na Hoods
Hot Water Htr �Ven t Fans —Domes. Incin.
Laundry Washer Boilers/Compressors Comm). Incin.
Floor Drains 0-3 HP Reloc/Repair
Other 3-15 HP Gas Outlets
-- 15-30 HP Woodstove
30-50 HP Others `0
50 + HP
#9 MOBILE HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Ba thrrooms /
nZ0 Any water on or adjacent to property: saltwater lake ✓
river pond wetland seasonal runof-
other
Show foll-owing on the site plan Directions to Job site
Lot Dimensions Flood Zones _
Existing Structures Fences ��� Na-, � ad
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography -
Septic Systems Wells
Proposed Improvements Easements ,
Name of Flanking Street,
Name of Fronting Street
11�a.,K-C-e, oLt Itchv
Ja 9VC 37!
UAL
Scale: 1 = IQ `
Date: 9 -►-qy
A.PPLICANI' TO DRAW TOPOGRAPHY PROFILE BELO
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,NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRTZrIC �
ATJT'rORIZED IS NOT COMMENCED W..L - 180 DAYS , OR IF CONSTRUCTION OR WORK
IS SU-SPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS CO ENCED*
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I_AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND 1 AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. Q DEPARTMENT.
X OWNER X BY
DATE -q-l-q2U DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by.-' Date:
E GE, � V E IDDEPAR AL REVIEW L��
SEP C i 1992 FOR OFFICE USE ONLY
GENERAL SERVICES Approved Cord Hold
Approval
P laaning: j A
t
l
Environmental Health: Ple;
Building Plan Review:
Fire Marshall : �)
. 1 -7• o
Other: l6.
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