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HomeMy WebLinkAboutBLD24947 Office Addition - BLD Permit / Conditions - 12/20/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 n � DATE ISSUEDJ�=y�� OWNER " E PERMIT NO. ` -MAIL ADDRESS t e1�SO1� C 3 �� CITY&STATE DIRECTIONS ZIP PHONE TO JOB SITE a ��/es p's 6 e S* f , k PARCEL G� r 1,t f NUMBER I�.�. ' -IS/- �JO LEGAL DESCR. 3XV-3 CONTRACTOR �, NAME MAILADDRESS {� l CITY&STATE o USE OF G� / LICENSE NO. ZIP PHONE BUILDING CLASS OF gy � p WORK P. NEW ADDITION ( �� �e DESCRIBE ALTERATION REPAIR WORK / Q MOVE REMOVE BEDROOMS_,_ DECKS ----__ CARPORT_ NOTICE BATHROOMS__ TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR NO.OF STORIES BASEMENT CONDITIONING. --- S_ ATTACHED�_ TOTAL So.FT. FIREPLACE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DETACHED COMMENCED WITHIN 'So JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PERMANENT_ SHORELINE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. SEASONAL OWNERS AFFI IT 1 CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS CONTRACTORS AFFIDAVIT I CERTIFY LAW M 1 MP AND AM AWARE UI THE MASON COUNTY CONTRACTOR REQUIREM TS FOR WHICH THIS PERMIT A ISSUED AND THAT ALLON CORK NDONE WILL BE I CERTIFY THAT I AM A CURRENTLY THE REGISTERED ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE IN CON F MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN OBTAI G APPROVAL FROM THE BUILDING DEPARTMENT. CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X WNER Ill =' DATE X BY DATE �2-_ FOR OFFICE USE ONLY 8© DEPARTMENT APPROVED 3a,n0 YES No DEPARTMENT APPROVED HEALTH m4 ves No BUILDING VALUATION � A©may PLANNING PUBLIC WORKS FIRE FEE D.O.T. BUILDING PERMIT BUILDING 8,E�0 SPECIAL CONDITIONS PLAN CHECK BUILDING GROUP ct �Z-S PRE-INSPECTION ^� SHORELINE C OODSTOVE PLUMBING MECHANICAL ,)- wi cLe STATE BUILDING FEE lrPLICATIONACCEPTEDBY P STATE SURCHARGE S CHECK BY VED R ISSUANCE PERMIT VALIDATION �_ BY 12- Z K MO TOTAL CASH C FI^L1 Foul: a fir � s TM NO. No. P"loors , ».. Ft Tel 1e �* P d P to Oroj t o e "." • JAW F ! r Bed Deck per F tove sit „ ,,_„ Aft _�Ott "-- t