HomeMy WebLinkAboutBLD92-0366 Cancelled Garage - BLD Permit / Conditions - 6/11/1992 r.
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ETE MECHANICAL MOBILE HOME
s-Setback date by Ribbons
�" by Gas Piping date bo Set Uption Walls date b by INSULATION date by
Final
BG/SLAB Insulation Floors
date by
date by date by FIRE DEPT.
FRAMING Walls date by
date by date by
OTHER
PLUMBING Attic
Groundwork date by
date by WALLBOARD NAILING
D.W.V. date by
date by FINAL INSPECTION
Water Line date by Jdate by
date by
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BUILDING PERMIT APPLICATION �LDW--0-5�4
` MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
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DIRECTIONS
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NUMBER co so &0 SR
AME MAIL ADDRESS
CONTRACTOR --� CITY&STATE 21P PHONE uCENSE
Aft (USE OF
BUILDING t InI, ✓, �
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ K I
DESCRIBE
WORK I CQ (/I 5 V% t.l
AREA: c aQ NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES 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
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O DETACHE
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
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUI DEPARTMENT.
X OWNER DATE X BY DATE S
FOR OFFICE USE ON LY
DEPARTMENT YEAPPROVEDJO DEPARTMENT YEAPPROVED'O BUILDING VALUATION O
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK `
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
EAPPLICATIONCCEPTED BY PLAN EFY APPRO D F SUANC PERMIT VALIDATION
'/�� Y ,', ASH CK MID TOTAL ]
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MASON BUILDING INSPECTOR c
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STEPHEN JOHNSON, INC.
N.E."I MISSION CREEK ROAD
BEVAIR,WA 98528
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