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Home My WebLink AboutBLD92-00294 Demo Garage - BLD Application - 5/14/1992 BUILDING PERMIT APPLICATION 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&STATE ZIP PHONE a:tw 4.ao T Z -,f}Jt1 HA lie L&fw Zkt�► lf4 c�r4 rb'S� 3'�Z-3z DIRECTIONS I £�� ?Z c� TO JOB SITE mi . AST aL-De� (Z W4 I IJ AJ d tJ t4 I Ld� toto Pr Lc. u's t+C N LEFT vsc CN PARCEL LEGAL �� .�p� NUMBER _ t�.� `, `s�ii,�%i�iti. _ DESCR.E/L IN�� v� 2 �%FACT 14 . (J►J 86* NAME MAIL ADDRESS CITY 8 STATEZIP PHONE LICENSE NO. CONTRACTORILI C � �lZ7 .�AYf+gvJK lu, �,PA- Loa , cf 352-3L ICIE; 12C, /�!Z USE OF p BUILDING ( � Cl? 64-Q164- O#J CIS (f�tc, Ft )A)4gr(w �T LAC OL cL� CLASS OF NEW �..� ADDITION ALTERATION REPAIR WORK ✓ `_ MOVE REMOVE DESCRIBE WORK EI'►1C 6 L-6 <6 E_ !` 1 D �Jrcr IV&-0 ©� 1�x (o f�0 /J b 0+"-"QN AREA: 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,A47V SgFt ATTACHED O DETACHED 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 APPRO L FROM THE BUILDING DEP TMENT. APPROVAL FR THE BUILDING DEPARTMENT. N X OWNE DATE �_ X BY DATES f' _ FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT YES NO BUILDING VALUATION YES NO 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 APPLICATION ACCEPTED BY rLANSCHECKBY APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO TOTAL BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 GATE ISSUED PERMIT NO. NAM AIL A OAESS ! ATE ZIP PHONE OWNER ©N-N 1VO�i�ST `/`fZ7 —WVf4A,,1K LIJ b.-Y Wig. 3Sz DIRECTIONS TO JOB SITE AJ �- p� �pOK __INN O/V H/O6 oG v way E7wF.�tJ 2- Si-o�E Pr L-i41es EN L-f--F Ha1'sE c�N W PARCEL LEGAL (/ NUMBER LEGAL �2 pF TIP j S fiNDT4L G.1 ZS OF 7rAc_"Indicate below. O Property lines and dimensions, r--t t'9T © SvuNY `g�t�{Cf-1 O Easements and roads. O Septic,drainfield and reserve area,or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building& septic system setback distances from all property lines& easem_ents. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach Copy of septic system"as built" or septic permit approval. O Indicate topography profile of property and structure on reve a side. o I WE I/we certify that the proposed construction will conform to the dimensions and usZ3nolwln e and that no changes will be made without first obtaining approval. y SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE 00 NOT WRITE BELOW THIS LINE 4PPtarl�rcn TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE 3.