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HomeMy WebLinkAboutBLD24701 Sign - BLD Inspections - 11/1/1989 Shorelines: Plumbing: Setback: Mechanica : Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Footing: Remarks: Setback: Foundation Walls: Framing: Fireplace: — Wood Stove: C7)D TYPE SIGN Permit No. 24701 No. Floors Sq Ftg Owner FOWLER, Vernon Te1275-3024 Date 11-1 -89 Address P 0 Box 216 Belfair Zip Contractor Mickelson Consl Address 2724 B Blacka e B vd 01 m is Zip Legal Description Tr 6 NW,&,J Tr C S/P 178 28-23-1 Direction to project site Hwy 3 to Belfair Short Stop Grocery Plumbing— Mec anica 1 r Wood Stove Fireplace Deck Tarage Zarport Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 �' DATE ISSUED� �j PERMIT &�Z _ OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE � a / {?o - 0K o2/ ?YS 2—C 2�s jot DIRECTIONS `�� TO JOB SITE p} 3 PARCEL LEGAL ++ � I NUMBER 1.L32� 3 2 Cl OU I C7 DESCR. �, ©K" J �. O Nc K-t 14 �M I CONTRACTOR NAME MAILADDRESS CITY&STATE L NSE NO. PHONE lVtt c�CCj�ScSvICcru s3 X j (A� USE BUILDING 11 CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE 1. n WORK (Jl ``lC' cj ('a 14(< 7L! yZ l BEDROOMS DECKS CARPORT NOTICE BATHROOMS TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING, NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT TOTAL SQ.FT. FIREPLACE COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT 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 LI4W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS f OR 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 APP OVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. f XOWN R DATE X B DATE FOR OFFICE U ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES No YES NO BUILDING VALUATION © � HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK :LS SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION C,,4yr r-= SHORELINE MBE -r QL1- � .�[) ML-• WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY S CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION r TOTAL �� BY /� CASH CK�, `�� MO