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Home My WebLink AboutBLD22208 SFR - BLD Application - 6/22/1988 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NOrQS�' NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER J GI 'v7'77/9 r'p� v� S/ ELf /� DIRECTIONS ;L TO JOB SITE , Sl-Axcl of A,°, s HLqk 1E r r l- /EW rA 7-up OF NIL(- l j5VA " -r19k6 9 k r' PARCEL 'L LEGAL NUMBER Z 2 T- �--QGit�L' DESCR. `0 OF SLAVK 6�/&f- 64 y_ NAME MAILADDRESS CITY&STATE LICENSE140. ZIP PHONE CONTRACTOR �0 r � USE OF BUILDING KF$lp'6A)CSC CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE (� WORK l./ Uj L /v Yl E tv f r lJ /9 -,%2- 7 X!r"i— BEDROOMS R DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT GARAGE CONDITIONING. NO.OF STORIES BASEM T 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 ANYTIME AFTER WORK IS COMMENCED. PERMANENT . SHORELINE`'`--� SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CE IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI TRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ IREMENTS 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 OBT INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. NER av + "UAATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION `� � Cal YES NO YES NO HEALTH ?- PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING USG PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE �� & 6 � WOODSTOVE s�. 'L G•'p x J L /.2 Q r c PLUMBING / GC/ S MECHANICAL / JL y, STATE BUILDING FEE _ STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION v rtif ✓ BY "� CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER p,v ,J Ct,�Cfiv,,TM 1pa 41 /& Gk` Z DIRECTIONS -7 ,k-r �k TO JOB SITE M/L,E F 1 / 'T-O p F N��f �0 t Etf 1 Vl,4 F 5T 7`,E l. FRa o a f t1l L<, 19 T �E�E4 yLEGAL reT DESCR. CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE USE OF p BUILDING a�tE C PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS ®� FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS A L N' REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER i G=?U AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER UCH DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL �'� TOTAL /O`= SPECIAL CONDITIONS: NOTICE: 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. \, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER ATE Z d X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK Y BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY ��L� CASH CK MO