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Home My WebLink AboutBLD23832 SFR - BLD Application - 6/6/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER �?A�/i 1� !'t/• �c�tic/E/UE.� .5?w /"q,^c'�'l T: �i: .t/ DIRECTIONS s 1,911, /2zpfU%fly �T• l`�c�, � � Lt�f�• TO JOB SITE �/EA�E�/i�Ga:,� � T•E'EAS��.-�" !�L . i l��C/ori�TGe'.t'iv'R%) e7 � � f' /'. JEv- '�= `/ PARCEL LEGAL NUMBER /+2 / 0 /i�000 G a D ES C R. S£G . To�Un/aH/P' l /�/�it/lac J ��7 2 D•y >Oi/'/ / NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PH O E CONTRACTOR f BGC/G1J{�S i21�v �E" ii%� �J yt /!A/�y_Gtlir, u'/'/'#R�28i(i " l�l�R �'S- _2I USE OF BUILDING N —R---- — MOVE REMOVEELAS S O NEW ADDITON ALTERATIO WORK DESCRIBE WORK G'��-�'c'!E �o uic✓�ATio.cl fivT�;E'i�.� .�'i�.�� P�fZi o�iou s_� i�v��c.�.<1>!�n/ lo.�'A✓JE/� i-i -i/ �L f�u>�� DiN/ G�v:ru�• Ivor, /.v�ut-Ai�d Go'Ji.v�v�1 E��ci: •�s��J-c/✓`'�A�'V i-/c"<1% �,601�si�U � BEDROOMS ! DECKS _ CARPORT_ ____— NOTICE -'-- SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS j TOTAL SQ.FT. GARAGE _- _____ CONDITIONING. NO.OF STORIES 1�-L_ BASEMENT — ATTACHED -_- ! THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRU OR WORK IS SUSPENDED OR TOTAL SQ.FT. / FIREPLACE----- DETACHED__- - __ A9ANDONEDFCRAPEPIODOF180DAYSATANY MEAFT WORKISCOMMENCED. - —--- — 4 PERMANENT SHORELINE —_ -_ — - -- 2.^� . d4,(tea SEASONAL ---- OWNERSAFFIDAVIT CtCNTRACI ORS AFFIDAVIT I CERT�Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS CERTIFY THAT AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND i AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REOUI MENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE Will BF. WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. ,[J n APPROVAL FROM THE BUILDING DEPARTMENT. X 4NERQ.�I�C ��[ __L-- �" d�— X BY— DATE FOR OFFICE USE ONLY le APPROVED DEPARTMENT APPROVED BUILDING VALUATION 3J'"1 �, DEPARTMENT YES No YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT ,ZC D.O.T. BUILDING PLAN CHECK J SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION SHORELINE WOODSTOVE C PLUMBING /� v1ECHANICAL %6 f. e FC1 er /✓ i /� /NC• =ATE BUILDING FEE STATE SURCHARGE , d OPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY i�� ('�� , CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS _ TO JOB SITE ' " Je'L� . itJ '� LEGAL DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR /� , P �x �,,USE OF BUILDING r//3C'A i',.�r✓ �?f'YsrU r �'�"t t� i PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS i-. FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR REPAIR/ALTERATION 6.00 ' WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS a , L70 HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS f VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE A1�00 PERMIT BASIC FEE 10.00 TOTAL TOTAL /3 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 CONFOR CE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST O AINING APPPR L OM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER %( �//-z�DATE - �-� g`� X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IV— � BY CASH CK MO