HomeMy WebLinkAboutBLD0477 Remodel - BLD Application - 12/30/1986 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
ZIP P10fPlats
NAME MAIL ADDRESS
clrr&STATE t�A 98528 2
OWNER {worth Mason School District P.O. Box 157 Bel f ai r,
DIRECTIONS _
TO JOB SITE -
mile from downtown Bel f a i r, just be and elementary school a 20 BooLEGAL Plat of Sam B. Theler' s Home & Garden Tracts,Vol .4, paglP 'DESCR. LOt 24, CITY&STATE NAME CONTRACTOR Roof Doctor 3273 Chico l�da qi Bremerton I�R ROOFDI 1 8N8 G831rou s7
USE OF Comliiunity Center: senior citizen lunches, wkeetings of comutunity g REMOVE
BUILDING MOVE
CLASS OF NEW ADDITION ALTERATION x REPAIR x
WORK install fire-grade suspended ceiling goof to
DESCRIBE Frame, sheet, apply built-up roof;
WORK
be installed over present glass sk light assembl • suspended ceilin to be
installed in corridor under present Skylight ECKS D NOTICE
_--- CARPORT —
BEDROOMS_— SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AI
BATHROOMS_Z— TOTAL SQ.FT.
GARAGE � CONDITIONING.
ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
IN 180 DAYS, D IF CONSTRUCTION R WORK IS SUSPENDED OR
NO.OF STORIES --I BASEMENT COMMENCED WITH
TOTAL SQ.FT. �1t1G- FIREPLACE�—
DETACHED�--- ABANDONED FORA PERIOD OF180AYSAT ANYTIME AFTEWORKISCOMMENCED.
PERMANENT --k— SHORELINE
SEASONAL.
CONTRACTORS AFFIDAVIT
OF
OWNER AFFIDAVIT
THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
TI THAT I AM EXEMPT FROM THE BEG �S OF THE CONTRACTORS 1 CERTIFY THAT WHICHAM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE
I CERFOR
REGISTR ION LAW RCW 1S•27,AND AM AWARE OF THEWORK
REQUIR ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE APPROVAL FROM THE BUILDING DEPARTMENT.
IN CON RMANCE THEREWITH. NO CHANGES SH NT BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTM
DATE X BY DATE
X OWNER
FOR OFFICE USE ONLY
APPROVED BUILDING VALUATION t e7
APPROVED DEPARTMENT YES No
FEE
DEPARTMENT YES No
PUBLIC WORKS
HEALTH BUILDING PERMIT d
FIRE
PLANNING BUILDING PLAN CHECK
D.O.T. BUILDING GROUP PRE-INSPECTION
SPECIAL CONDITIONS SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE ,
5 �
STATE SURCHARGE
h � o
APPROV O IS CE PERMIT VALIDATION TOTAL
APPLICATION ACCEPTED BY PLANK BY CASH CK MO
BY