HomeMy WebLinkAboutBLD25858 Final Metal Bldg - BLD Inspections - 6/7/1990 Ines: Pluabin
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Leal Description Dewription Thelers Home & Garden TR 26
Direction to project site 300 ft so_Uth o Th9ler Ct
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED Q v
P MIT NO. f,;( r
NAME / MAIL ADDRESS CITY&STATE / ZIP PHONE
OWNER A) F c, 0 6<-/ s C/noov 6- v htKAJ 9,y 3 6 6-
DIRECTIONS
7
TO JOB SITE �D F - - o�i71 OF' /ffLG-7C 2 f�i7t/ Ec�wiirt`�, �C xrl�lt
PARCEL LEGAL]
DESCR. �' 7 =ZA
3
60'1'Ll
NAWE MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR _
USE OF ;
BUILDING
CLASS OF NEW / ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r v
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES L 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. y00 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT y 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
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY -'O"Z DATEiQi ��
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �j p
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 2�0 C? G
D.O.T. BUILDING r PLAN CHECK At3 . O p
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
y r , SHORELINE
jo
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE ►
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHEPK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
• / ► TOTAL
BY CASH CK
O MO