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HomeMy WebLinkAboutBLD21115 Final ReRoof - BLD Permit / Conditions - 2/3/1988 4• BUILDING PERMIT APPLICATION 7e.Roc5r— MASON COUNTY DEPARTMENT of GENERAL SERVICES !aJ P.O. BOX 186 SHELTON, WASHINGTON 98584 c 427-9670 DATE ISSUED_ - zip/ �{/' / �1/ �� f/ ✓ � ` PERMITNOL7C�y NA OWNER MAILA DRESS CITYSSTATE- ZIP PHONE DIRECTIONS TO JOB SITE PARCEL LEGAL - 7 , NUMBER gE MAIL ADDRESS CITY&STATE LICENSE NO. ZIP P CONTRACTOR ' r 56 1 ,�lLGG� USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE n©c)F/�'&- WORK K on*1 UYL'H � L4,�d. �, : wo Lo+-s l�as t .tdd 7'223IL v� S-t BEDROOMS DECKS CARPORT NOTICE S p 1 8`4 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANEN/r HORELINE SEASON OWN SAFFIDAVIT CONTRACTORS AFFIDAVIT I CER IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQU REMENTS 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 C NFORMANCE T EWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT INING APPROV FROM THE BUILDING DEPARTMENT. oA APPROVAL FROM THE BUILDING DEPARTMENT. kZX WNE j4&LDATE 6 v 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 SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO TOTAL APPLICATION �����' Shorelines: Plunbing: Setback: Mechanical: Spec i Interior: nc ion FINAL: l e Z2 3 F�l Mobile arse Smoke Detector: Remarks: Footing: Setback Foundation Walls: Framing: Fireplace: Wood Stove: TYPE RE ROOF Permit No. 21115 No. Floors Sq Ftg Owner RICE, Tel 898-3770 Date 10-27-87 Victoria -- Zip Address E 211 Arellem Rd Union Contractor Gregg's Car Zip Address E 30 Hyland Dr Union Legal tion on site EI. IOo06 West of Dab Rd. rd Direction top Z m Robin Hood Inn 42. ewer tove 'Piun ing c anica_ Car r t Fireplace Deck Garage Po Basement Loft Other 35 sq. shakes