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HomeMy WebLinkAboutBLD19415 2 Car Garage - BLD Application - 10/27/1986 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED292Z4 f7 PERMIT NO. OWNER NAME _ MAILADDRESS CITY&nSTATE Zip PHONE ©R0aN /� /IA �393 S-r r-c ma's/ /Po S l�,e�7PEv/ 1✓ �.✓a 98s� �7S-�335� DIRECTIONS nn TO JOB SITE FRo e.4 t'v/tW C•A°ogs aR+agIF To Si-rT-c y IS - ruR l6 4py S E7-ch4 Z's g -ApRDX 45 - ra RN p LE Rg i Vol.rE ,qi///-3, MR/ dO -F//ow go Agrg / 1?ir.m or LEGAL DESCR. l/or CONTRACTOR e NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE 0 4o E/t/i//s r 3q3 ST/QETcN Z's/ d. S USE OF (4ppewEi1/ 274'-( 3yC BUILDING 1914 CLASS OF NEW WORK ✓ ✓ ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE n WORK �o,vsrei/ 7' NEW ?w ucrio wl�-/f e /� Oo A Q SI11A OBI= - S/LE I :Ly w O,E' X Zb' LOvr. - OP/41t1131 ro go -r 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. G COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR FIREPLACE DETACHED l✓ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT'/_ SHORELINE SEASONA OLEMENTSFOR FIDAVIT CONTRACTORS AFFIDAVIT I I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF RLAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE R 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 ICE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OFROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X / ATE /o/2 c 9 L X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES No YES NO BUILDING VALUATION / a D HEALTH !� PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK .7.S;d r SPECIAL CONDITIONS BUILDING GROUP sL PRE-INSPECTION rL16 / go SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR IS UANCE PERMIT VALIDATION BY CASH CK MO TOTAL