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HomeMy WebLinkAboutBLD10843 Workshop - BLD Application - 10/9/1985 MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 /O^ g DATE ISSUED l_// � PERMIT NO. _ Z�� OWNER NAME KA/Getii MAUL ADDRESS CITY 3 STATE ZIP PHONE E!J/ &jA DIREGTIONS TO JOB SITE ©F r LEGAL (O SEE ATTACHED SHEET) DESCR. t ... TieliteJ 9 CONTRACTOR NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE s USE OF BUILDING ��CJOGA>~ S jfvp Class of work: J14 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: /2116� Valuation of rk: $ PLAN CHECK UE PERMIT FEES D t'f i SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES ATTACHED _ BASEMENT❑ OR AIR CONDITIONING. TOTAL SO. FT FIREPLACE ❑ DETACHED$ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT wOn-V l IZED 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 I certify that I,am a currently registered contractor in WORK IS COMMENCED. the State of Washington and i am aware of the FO OFFCE USE ONLY ■ ordinance requirements regulating the work for which 1IN the per' it i the issued and all work done will be in confor ance therewith. PERMANENT SHORELINES SEASONAL❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. V-7 to-7 ff AL OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. PAS of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHHE,CK�BY � APPROVED FOR ISSUANCE Owner Date.�1 _$J`� _ BY PLAN CHECK VALIDATION CK; M.O. CASH PERMIT VALIDATION CK. M.O. CASH CH RISTMASTOW N"PRINTING