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Home My WebLink AboutBLD29636 Garage - BLD Permit / Conditions - 12/3/1991 �'&� BUILDING PERM IT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES ✓�( t� �426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP DIRECTIONS `:ci !LL n -27LN j ' O PHONE 7 TO JOB SITE '!T (yt >%+� '2ti' �� % fJf l /Y �� L ��i S✓ �v/�l tZ FT �� YJ'l�Is'''�' 1.dl I." /✓4 f7 ��Y ! rT�T�'/!v �.•►mot L9tr/i[ sr.'��'S 4J��41i PARCEL Coll LEGAL i .Z ,, f ��, , . f T NUMBER E DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE 1 ZIP PHCNE LICENSE NO. c� USE OF BUILDING CLASS OF WORK r NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK /I/L'4 ' y i? AREA: NUMBER OF: PLEASE INDICATE: NOTICE RESIDENCE SgFt STORIES SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR CARPORT SgFt FIREPLACE IS CARPOR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. AR GE GARAGE 7 z()_SgFt ATTACHED O DETACHED j$ 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 LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS 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 L0BTIN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING WAlNNGAjPPROVA2:2ROMTHMANCE E BOIL G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. ER DATE / X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED Yes No Yes NO BUILDING VALUATION �--� HEALTH a PUBLIC WORKS PLANNING FEE FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING SPECIAL CONDITIONS BUILDING GROUP PLAN CHECK -�z Lf PRE-INSPECTION (v ,3V g SHORELINE �' J2 S4A,' WOODSTOVE w �`` �� rt{ ` PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY NS NECK BY APPROVED FOR I DANCE PERMIT VALIDATION TOTAL ��_q' CASH CK MO , Shore a- e N1 1 a 5a aw0&14; Setback: Mechanical: Special Interior: Conditions: Final: Mobile Home: Smoke Detector: Remarks: Footing: e)k z.-7-1r ,,,Arm Setback: "v Foundation Walls: © lz.a- q( Framing: 2replace: Woodstove: AREAr a? 9�P TYPE: GARAGE Owner: COWGILL, GREG Tel: 275-4320 Date: 12-03-91 Address: P.O. BOX 4124, BREMERTON Permit #: 29636 Floors: 1 S Ft- 720 Contractor: SELF `37& qC-, Address: Legal Description: HAVEN LAKE TR 117 Direction to job site: EFFENDAL PASS RD TO HAVEN LAKE SIGN, LT ON NE HAVEN LAKE DRIVE APPROX 3/8 MI TURN RT AFTER MAIL BOX W/WELCH ON IT FOLLOW TO LOT 117 Plumbing Mechanical Woodstove Fireplace Deck Garage X Carport Basement Loft Conditions: DO NOT BUILD OVER EFFLUENT LINE