HomeMy WebLinkAbout16106 - BLD Permit / Conditions - 9/10/1984R 1 Ll�
ASON COU TY
P.O. Box 186 Shelton, Washington 98584
426.5593
DATE ISSUED
OWNERNAME
{ 4 T} /fl
DIRECTIONS
TO JOB SITE
LEGAL
DESCR.
Co RAeToF,
USE OF
BUILDING
NAME
LL.
,
Class of work NEW
Describe work:
Valuation of work
PECIAL CONDITIO
N
OI ()ROOMS
DECKS
TOTAL ':> 0 Fl
tiv
S
MA A
MAIL ADDRESS
CITY 8 STATE
ADDITION ALTERATION REPAIR
C ARROW
GARAGE
NO. CF STCGIES _._. BASE!l1LNT ATTAi;cTI-O
FIREPLACE DETACHED
CONTRACTOR AFFIDAVIT
TOTAL SO. FT
Firm
By
Lir. No
Owner
I Certify that I am a Currently registered contractor in
the State of Washington and I am aware of the
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance. therewith
Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements cf the
contract or registration law ROW 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.
PLAN CHECK FEE
PERMIT NO.
OVE _ REMOVE
PERMIT FEE
PHONE
�ti c,,aT /)t, ,:}r
NOTICE
SEPARATE PERMIT,`„S ARE REQU!RErD FOP PLUMEiiNG, HEATING VENTILATING
AiR CONDITIONING,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR
IZED IS NOT COMMENCED WITHIN 1NO DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF tail DAYS AT ANY TIME AFTER
WORK IS COMMENCED.
F FFI
PEFTTAANE5i l
SE .<,ar, NAE
e D NO
S.necIrri Ac,s,rt.,vaalir
ZONING
PLANNING DEPT
HEALTH DEPT.
PUBLIC WORKS
FIFE MARSHAL
BUILDING DEPT
ROAD ACCESS
MOTOR VEHICLE PERMIT
A IC"AT. ACCEPTED 6Y
S o0riCt.Ir.E
FL.00fIi'LAiN
SE PA
IN
OUT
PLANS CHECK. EY
LY
YES
APPROVED FOR ISSL;ANCE
FLAN CHECK VALIDATION CK M . CASH
PERMIT VALIDATION CK M.O. CASH
SLETTEN, Garry
Olympic Trails, Lot 96
1721 Norris Avenue So.
Renton, wash 98055 228-5558
{16106
9-12-84
Take 101 North to Jorsted Creek Rd., turn left, go two
blocks, turn ri;h on pavement.
woodstove
Contra
Self
Shorelines:
hack:
Special Cond
Footing
Setback:
Foundatto❑
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanic
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:(,