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Home My WebLink AboutBLD0420 Storage - BLD Application - 9/3/1991 9. BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O.BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED - ^/L PERMIT NO. 2!U0 NA E MAIL ADDRESS CITY&STATE ZIP PHONE OWNER i -Lr tern DIRECTIONS ' TO JOB SITE �-0 PARCEL LEGAL NUMBER !,t aa0/p DESCR. ,� x NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF S BUILDING CLASS OF NEW ADDITION WORK ALTERATION REPAIR MOVE REMOVE ✓ DESCRIBE 2 . WORK g 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 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS SgFt BATHROOMS SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED 0 DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVI 1 CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENT REGISTERE RACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF TH R CE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT I D AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.N NGES S L BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE DEPARTMENT. APPROVAL FROM THE BUIL DEPARTMENT. X OWNER X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION -� YES NO YES NO HEALTH a PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT IV D.O.T. BUILDING f 3~9� PLAN CHECK P?,j SPECIAL CONDITIONS BUILDING GROUP 1,?-3 PRE-INSPECTION SHORELINE :.� Ad PIA WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY PL&NS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL CASH CK MO �aa / BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 d�7-96�n 10ATI PERMIT No. NAM C :��00 �jCIT YdSTArE LIP PHONE- OWNED alsecTiCNS ! I To ice St = i� PARCEL lEc.�� NUMBER .)3cE ��PrO OESC� o Indicate be!ewv: Proper-, (in-- =nd dinens' .^5. 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 & easements. Indic e North O Well and water line. 1 rcte O Saltwater, lakes, rivers, streams,wetlands,drainage. _ O Arach copy of septic system"as built" or septic permit-approval. O Indicate topography profile of property and structure on reverse side. FT I ,s I I I I I I I `ICI I o I I I I P V I I N' �I ( I I I I I I I I I I � I I I I i I I I I I I I I I I I ICI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I II I I ( I I I I IIII I I I I I I I I I ( I I I I I I I I I I I II I I I I I I I I I I I I I . ov 1-2 I I I I I I I I I I I I I I IIII I i i gf3�9/ I ! I I I I I I I I I I I I I I I I F9MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex 2 N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 (206) 426-5593 building environmental health maintenance parks&recreation planning sewer&water January 22, 1986 V. D. Cook 3249 NE 100th Seattle, Washington 98125 Dear Mr. Cook: Some time ago you made application through this office to obtain a building permit. Please be advised the permit is ready to. .be issued and can be called for at this time. If you are unable to call in person, a check in the amount of $ 143.00 can be sent to us and we will return your permit by mail. This permit becomes null and void if not called for within 180 days of the date of application. We hope to hear from you soon. Sincerely, Evelyn Fuller Receptionist This is an application for a Storage/Shop and is dated October 21, 1985.