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HomeMy WebLinkAboutBLD0268 SFR - BLD Application - 2/26/1985 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 Ay_ DATEISSUED PERMIT NO. G qER NAME -�AI )DRESS` CITY 8 STATE JF PHONE W �ve (❑ SEE ATTACHED SHEET) ow CONTRACTOR NAME MAIL ADDRE S CITY&STA LICENSE O. PHONE �--7 6, USE OF BUILDING Class of work: IEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: _L �o Valuation of work: $ PLAN CHECK ©E PERMIT FEE SPECIAL CONDITIONS: BEDROOMS (DECKS IF CARPORT ❑ BATHROOMS I TOTAL SQ. FT. _ GARAGE-1"1_,$-7/ NOTICE NO. OF STORIES BASEMENT C ATTACHED,i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SQ. FT FIREPLACE CI DETACHED i CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I cer ify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I am aware of the or nance requirements regulating the work for which FOR OFFICE USE ONLY th permit is issued and all work done will be in c nformance therewith. PERMANENT [ ! SHORELINES i Firm SEASONAL f I FLOODPLAIN E.D. NO. S.E.P.A. i By Special Approvals IN OUT YES APPROVED NO Lic. o. 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 aware of the Mason County ordinance requirements for BUILDING DEPT. ,�— which this permit is issued and that all work done will ROAD ACCESS be in onforma a there ith. MOTOR VEHICLE PERMIT Owner APPLICATION ACCEPTED BY PLANS ECK BY APPROVED FOR ISSUANCE -- Date . � BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH