HomeMy WebLinkAboutBLD22158 Garage - BLD Permit / Conditions - 6/15/1988 S)L 8--�( Two
Shorelines: Plumbing:
g
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
_
Setback: Remarks:
Footing:
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Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 22158 No. Floors Sq Ftg 400
Owner DAWSON, R.S. Te1275-5487 Date 6-15-88
Address NE 341 Collins Lk Dr Tahuya Zip
Contractor Jerry Wright
Address P 0 Box 1145 Belfair Zip
Legal Description Collins Lake Div 3, Lot 15
Direction to project site NE 341 Collins Lk Dr
Right on Collins Lk Dr 1st house on left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage 400 Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 I+rL' ��/ �•�S DATE ISSUED''
r PERMIT NO. /v
OWNER NA MAILADDRESS CITY BSTATE ZIP PHONE
DIRECTIONS
TOJOBSITE
PARCEL LEGAL
NUMBER "_ ^Z �rpjy �' DESCR.� / L �t�
NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
CONTRACTOR i 1
USE OF
BUILDING -c
CLASS OF NEW ADDITION X' ALTERATION REPAIR MOVE REMOVE
WORK _T
DESCRIBE
WORK
c� t��A Zz7 Ki�:4,LAe
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE �W CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED « THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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
REQ4REMENTS 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 ( NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT31j`INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVA FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE
FOR OFFICE U E ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH n PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ,
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
161 WOODSTOVE
A:L) PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
/�� '�` BY CASH CK MO TOTAL �Q. �