HomeMy WebLinkAboutBLD0655 Final Garage - BLD Permit / Conditions - 4/26/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEDli
PERMIT NO. ja S S
OWNER ,/1AM � MAIL ADDRESS 1 CITYBSTATE ZIP PHONE
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SITE I y►�,; dK
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NUMBER/,:�3 0 lgpq (�)OQ/Q DESCR.E:):01
CONTRACTOR t�g-
M LADDRF�SS ITY& TATE LICENSE NO ZIP PHONE
USE BUILDING
CLASS OF NEW
WORK ✓ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS TOTALSQ.fT. GARAGE 8le SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OF STORIES _ 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. FIREPLACE
DETACHED_ _ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
Lx
BTAINI APPR L FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
a;�3
O R DATE 7''�2 X BY
DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YE No YES NO BUILDING VALUATION ih 2 G p
HEALTH PUBLIC WORKS PLANNING FIRE FEE
BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 470
C
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICA N ACCEPTED BY PLANS CH/C�K BY APPROVED FOR UANCE PERMIT VALIDATION
G� BY 4 CASH CK MO TOTAL