HomeMy WebLinkAboutBLD26869 Office Warehouse - BLD Permit / Conditions - 10/15/1990 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED "5
+ PERMIT NO.
OWNER NAME MAIL ADDRESS c
Y6STATE 21P PH NE
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DIRECTIONS
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NUMBER �' DESCR- { 6ftpr �1 16(t
NAME MAILADDRESS CITY&STATE LCENSENO. ZIP P ONE��cc��
CONTRACTOR 6fft �-G O, 2 M � U f I ✓4
USE OF
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BUILDING WA,ff4W0(zC
CLASS
WORK O✓ NEW ,ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE nft atv (rveLJ 1s{D 52-
CARBEDROOMS DECKS YOR N q�� FT. NOTICE
DECKBATHROOMS . TOTAL
GARAGE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
TOTAL SQ.FT. TOTAL SQ.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA 1 BASEMENT COMMENCED WITHIN 100 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT.` TOTAL SO.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OW/THA
VIT CONTRACTORS AFFIDAVIT
I C AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REG RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOR 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 E THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XO DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP -�'�; PRE-INSPECTION
e SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL 44
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS C BY APPROV O ANCE PERMIT VALIDATION
BY CASH CK MO TOTAL /�� c
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