HomeMy WebLinkAboutBLD0389 Signs - BLD Permit / Conditions - 4/29/1986 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 O2 9
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS r CITY&STATE ZIP PHONE
IV. doe*S i T. Z t P
DIRECTIONS
TO JOB SITE �pLiW 3
LEGAL La7: Ale X5e ,�3. k/.La.,r ar4l-- let 1/ '(❑ SEE ATTACHED SHEET)
DESCR. f.7�' ,tiGd dre�G4[.b Uae , A
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of wok: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 ertify that I am a currently registered contractor in WORK IS COMMENCED.
t e State of Washington and I the
aware of the FOR OFFICE USE ONLY
rdinance requirements regulating the work for which
he permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. /� MOTOR VEHICLE PERMIT
Owner Date.�tX oZy AfAC APPLICATION ACCEPTED BY PLANS P14,RCK.BY APPROVED FPf6ISSUANCE
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
TYBB COMMUNITY BUILDING
Permit No. 0389 No. Floors Sq Ftg
OWner MARy THELER COMM. CNTR. Tel275-4898 Date 4-29-8�—
Address Belfair Zip
Contractor
Address Zip
Legal Description Sam B. Theler Home &Garden Tracts
Direction to project site Tr. 24
14iu;7' I Re l f a i r
Plumbing Mechanical b wer Wood Stove
Fireplace Deck Garage Carport
Basement Loft other