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HomeMy WebLinkAboutBLD11163 Replace Concrete Footings - BLD Application - 8/5/1981 BUILDING� MIT APPLICATION .fa - PERMIT MASON COUNTY I P.O. Box 186 Shelton, Washington 98584 426-5593 U / DATE ISSUED PERMIT NO. �NAME MAIL ADDRESS CITY¢�ST TE ZIP Grp _ PHONE OWNER �.J2/►�` l�t7c�ic�f ' /�da.p'rw9A27' S�J470/✓ aVo yid:? DIRECTIONS TO JOB SITE �ko s)lv&-W ip— ,¢iec.�tdla Q.D, fdL.PFT r?., 44z-s,, o.J I�T LEGAL ` OTS 17 I /AJ /OC/t( Q Of S 1-0-W A ITS 400 O TO S *%jq i#JT D �01,�T DESCR. 'fiLtR:D� ReC 1t Dt D /A) V elwM.c of /at$ a RtcORo of la"'En GAS NAME MAIL ADDRESS CITY 6 ftATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE I i Describe work:nn , K� ove eo e�?i Food`1^ Bock wfi-11 -� 0-7 2 IN 3 c� ?OR- 50 ®•J Two A Ds.j,.v e02r�l,S RQQ/tcc c.�r�T�, //�� x �CNcRQ fC TBOi-/ S' A-,'c W W�1 4-c ®)OCAS . OP�+�Q. .S/ L�� IVY �/Y/11'/.a� C'PMC�I✓ oCk /`LbWC /QCc W!TL, Con+Cki-C Aar-/;If� 81 S . Valuation of work: �© ,,. PLAN CHECK FEE 10 PERMIT SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT.__ GARAGE ❑ ATTACHED El OR PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANEN SHORELINES ❑ /�-j a/K @ e ©��- RgC�aR SEASONAL FLOODPLAIN El Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES AP V D NO Lic. No. Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27,and am aware BUILDING DEPT. o the Mason County ordinance requirements'for hich this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. NJDZQR VEHICLE PERMIT AP I A O CCEPT BY PLANS CHECK BY APPROVED FOR ISSUANCE ier Date. e A ' 'CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.Ot k CASH