HomeMy WebLinkAboutBLD92-0207 Cancelled Garage - BLD Application - 2/28/1992 BUILDING PERMIT APPLICATION -- Da0l
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDARIP.O.BOX 186 SHELTON,WASHINGTON 9W84
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME M ILADDRESS CITY BSTATE ZIP PHONE
_5M�i�-f zsOx 5?_4 Jc^ I Z &6 S:5�v04
DIRECTIONS
TO JOB SITE Spt L_F-Fr 'x. AA I it-
F-r-7 t L L
PARCEL LEGAL
NUMBER /Z3 -Z1- DESCR. �z A F_ 14w
NAME MAIL ADDRESS CITY 3 STATE 21P PHONE LICBOE NIX
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
WORK DESCRIBE
AREA: NUMBER OF: P INDICATE: NOTI E
SEPA PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
rE` �� $ �L S OND ZONING.
BASEMENT SgFt BEDROOMS PRI .O I THIS P M BECOMES NULL A DID IF WORK OR CONSTRUCTION AUTHORIZED 18 NOT
CO E ED WITHIN 180 S, OR IF CONSTRUCTION OR WORK I8 SUSPENDED OR
DECKS SgPt BATHROOMS 0EASor4L O AN ED FORA PER OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgP1 FIREPLACE GE
GARAGE SgFt ATT O DET
OWNERS AFFIDAVIT XCERT
CTORS AFFIDAVIT
10ERTIFY THAT I AM EXEMPT FROM THE REOEIIREMENTS OF THE NTRACT THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REQWMTION LAW RCW 1B.2T,AND AM AWARE OF THE MASON COUNTY ORDINA WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FORWHICH 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININGAPPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES AAPPROVEDNO DEPARTMENT Y�PPROVENO BUILDING VALUATION
HEALTH M I PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING 4• PLAN CHECK
SPECIAL CONDITIONS I BUILDING GROUP PRE-INSPECTION
HORELINE
WOODSTOVE
PLUMBING
MECHANICAL
1/ A G /ff���5 STATE BUILDING FEE
TION AOCEPTED BY PLANS CHECK 8Y PERMIT VALIDATION ✓
2? �z TOTAL
`C� BY CASH CK MO + 1
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.III 426 W.Cedar
P.O.Box 1" Sheiton,Washington 98584
F;J (206)427-%70
BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
November 18, 1992
DEC -21992
Jeff Smith
P.O. Bog SZ45
Belfair, WA 98528 aENERALSERVICES
To Whom It May Concern:
Your building permit was approved by this department over 6 months ago. It is our policy
to hold the permit for a six mouth period before the perms is no longer valid. Please
indicate below your intentions regarding your building permit and mail it back to us. If
I do not bear from you within two weeks from the daft of this ktter I will assume that you
want your permit canceled and I will bill you for any plan check fees that apply to the
j permit.
I will be in within the neat 2 weeks to get my permit.
If I cannot pick it up, I will notify you.
Project: r c
Amount Due:
I wish to cancel my permit. I realized I will be charged for any plan check fees.
Plan check amount due: c�5
If you have any questions regarding this matter or you feel there is an error please feel free
to call me at 1-800-562-5628 or 427-9670, extension 207.
Sincerely,
70
Building Clerk ,� � � j� ,��•c T
iAJ
TAIL .. _ •
/I
DIRECTIONS
TO JOB SITE
o■..®®o■■r■■■■.■■■■■.■r■■■■■
mrm■®m■■r■■■m.■■■■■■®m■■■m®■
r■r■®rr■■■m■■■■■■■■r■■■■■■r
®■r■rrrr■■■■.■r■r■■r■■■■■m®■
mmrrm■r■.■■■■■■■■■■■■■■■■■®m
.■■.®■.■■■.■■■■■r■.■■■rr■■ ■
®■■■®■■■■■■■■■■■■■■.■.■m r■mm
■r..®rr■■.■r■■■■■■■■■mr■m■m�
®■■■rr■■■■®■m■.■■■■■r■■■■mmm
®■m■■■■■■■■r..r■■r■■■■m■■■■■
■immm■mm■mmimm■mmmmmmmmmmm®■
■mmm®mmmmmmmm■■mmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmm
■mlmm®■ ■mm■mmmmmmm■mmmmi■m■
■mmmm®■mmmmmlmmmmmmmmmmmm■m■
■mmm■®mmmmmmmmmm■mmmmm■mmmmm
■mmm®®mmm■mmmmmmmmmmm■mmmim■
■mmmmmmm■mmmmmmmmmmm■mmmmmm■
■mmmm■mmmm®mmlmmmmmmmmmmmi■■
MILL• .
•
.o s
� J
r
a a
in
Do Iq
^ s �� '
PROVED
1N�P�CTNR
CQNST :
• W
_„� wlw�oowe w
I
aawiwauswanad
WALL CON51RL CTM
la ie F j oMo
I OA/0lI�iN •i � N
an
o A oM
s Comm aide w rAw ., CLcoo
w
_ o
NN
TYPICAL.WALL WCTION ., Z
N.T3. W
WN
0
x m
m
• i
V
121A M"
i j DOSIe RYW=51DM tT-Hp
�-
N&Mwbm!aswom
i •; i �M1Y�r��Irr�r�
' atM d wIM�Ar
i
j
i 11
,
' I
=-------------------------------------------------------------
1 •70.rc s;r�areat t
t 1
I I
I I
I 1 I
I I I
I r I i
I
\ I
f
1
V f i -9I C
I
f
r i
I
I
1
1 t
1 ,
I I 1
I , o
---------- t5
M
1
1 ,
(
1 I
1
1 f
1
1 _-
1
,
i I
\ I I
1
-_'-
1 -
�"4
1'
f
b_
I ; ,