HomeMy WebLinkAboutBLD9108 - BLD Permit / Conditions - 12/1/1980 Banchero, Paul #9108
12-1-80
651 Sh el e,� e
above address
Lot 31, Blk. 2, Sreret 2nd re . t
Storage
�2,688.00
BUILDING PERMIT APPLICATION
MASON COUNTY
PO Box 186 Shelton, Wash ngton 98584
426-559
DATE IUEC__,_w
PERMIT NO
OWNER NAME M.ADDRESS'' STATE ZIP PHONI
DIRECTIONS
TO JOB SITE
LEGAL �,r w { SEEATTACHED SHE
IECR,
Ct tT iAC ' I NAME MM.ADRESS CITY STATE LICEOI NSE N "HONE
IOF
LftLKKffNC
Class of work. ) NEW ADDITION ALTERATION ATIO I REPAIR MOVE i REMOVE
C escnbe work.
Valuation of workr PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BE ROOMS NECKS�r _aw ..,. CAf PCIf T'F1
BAT HROO ,... ._._waw.. TOT IL S 2, FT. ._ _ GA AGE 4:;
T T IIEC?f:.; SEPANOT
RATE PE MITS AR PEOUIRED FOR PLUMBING, HEATING. VENTILATING.
N . cad STC>ITIES .' I A E ENT I s Ol CON ItIONI IC.
TOTAL SCE. FT. FIREPLACE `:E DETACIHED w,i
THIS PERMIT IT BECOMES MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR
-
CONTRACTOR AFFIDAVIT I, ED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED I FOR A PERIL U OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered ccontractor in WORKIS COMMENCED
ED.
the State of Washington and I am aware of the
ordinance requirements regulating'the work for whichFICEUSEONLY
the permit is issued and all work done will be in
conformance therewith, PERMANENT , SHORELINES ..
SEASONAL `£ F OODPLAIN
Firm ED NO S,E,P,A.
R m_ _. Special Approvals IN OUT YES AP V I NCB
Lsc'No,_w . ::°; w. a. Date; ZONING
PLANNING DEPT.
01 NER 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 LIIL.LTINC DEPT.
of the Mason County ordinance requirements for
which th5 permit Is Issued and that all work done will ROAD ACCESS
be ' co for n t rewth, M VEHICLI PERMIT
s AP I TIO I T Y PLA HLCK ad PP OVED FOR ISSUANCE
')ws cr Cate , f
.:HECK VALIDATION CK, M. I. CASH ' PERMIT VALIDATION N cx f t: . CASH
A )94E IEPIIIT IEi.
EEPiiTlII I� T ON ' I /
SITE AREA Sq,Fta AREA OF SITE E BY BUILDINGS Eq Et.
INSTRUCTIONS APPLICANT
THilS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN SCALE OF NOT LESS THAN 1 2 ARE
ILED WITH PERMIT APPLICATION. (EACH BUILD1NG SITE MUST HAVE A SEPARATE PLOT LAN.)
FOR NEW UIL II G PROVIDE THE FOLLOWING INFORMATION` IN THE SPACE BELOW LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS ENTS SHOW BUILDING SITE,AND SETBACK I I IEN _
SIGNS.SHOW E EC TS FINISH T UR OR DRAINAGE,FIRST FLOOR ELEVATION, STREET ELEVA-
T"ION Ill SEWER SERVICE ELEVATION# ATIO OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES w HC LOCATION OF VEY PINS SPECIFY THE USE OF EACH BUILDING AND MAJOR YR PCB-
TI ON THEREOF
tfr
INDICATE NORTI4IIN CIRCLEGRAPH SQUARES ARE 5' X ' OR 1" 20'
a
ID v4 LN1J
f
I/We cemfy thet the propoved constructmn will conform to the d(m.r*ceS and that no chenes will be wilthout
first Ili approvI.
2 WRITE RE OW t I f
EIVE CAT"E I)
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