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SON COUNTY COMMUNITY SERVICES pet mit No:
d �0 -
PERMIT ASSISTANCE CENTER: �(dLf
' •BUILDING PLANNING a FIRE MARSHAL
v 615 W..Alder St-Shelton,WA 98584
Phone Shelton:(360)427-9670 ext.352• Fat(360)427-7790 Prone �• /r+
Beffair.(360)275-4467• Phone Elma:(360)482-5269 Ff.~. llfl 13.��
CM BUDDING PERMIT APPLICATION JAN
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
��•••� NAME: C05&0% _ NAME:Ll7 etC5t(�►�i. ('b r(S twC i6v�_ cIf Strew,
i MAILING ADDRESS:.DNag of�ec Aje5W MAILING ADDRESS: S019 laYtnbSktn���
CITY: ffiL3 sTATE:DQ. ZIP-el�3a1 I CITY: +e( _STATE:-J ZIP: 4jQSj--Q
PHONE#I: e� 31S• 11P00 PHONE:31tDy1 0 QZ___CLLt: D4 p go
SIMMONS -PHONF.#2: F,MAIL: 'A kill �{ 5 StiC lay�l.nQ
EMAIL: LBtt RFG th _ .YP.
cc CONTACT PERSON: OWNER U CONTRACTOR O,T^H,„E,,RE,
NAME: C�)'jl W- MAILING A RESS: 6612 t0r`�Q'Wi , Sk W
CITY:"'�MML0'S _STATE:1.,]Pt ZIP:cI S�SIQ P110 360 417.-a2o2.CELL:
EMAIL•
PARCEL,INFORMATION:
PARCEL NUMBER 02 Digit Number) 5abo'R °I O-Q t p� LnNINCi_
LEGAL DESCRIPTION(Abbreviated) FIRE:DISTRICT
SITI;ADDRess 3 � Or 0. �1nP�
i 'DIRECTIONS TO SITE ADDRESS
i
IS TIIE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[? NOP-111
IS PROPERTY WITHIN 100 FT: a-hrrAalliGaralq+(0;
SALTWATER[]❑ 'LAKEN RIVER/CREEK D POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: STEW ❑ ADDITION ❑ ALTFRATION 'PAIR ( OTHER ❑
USE OF STRU( axrT11RE(R�xiiknce,Cants,Comntetritl Rldl.Fh.) k-
1S USF: PRIMARY❑ SN:ASONAL❑ NUMBER OF BEDROOMS NUMBFIZ OF RA111ROONIS
HEATED STRUCTURE? YE.&(fYholeBldg)F1 YES IPrut(/rJnfBldg)[] NO
OFS(at113h WORK
(I'rttuation/Project Bid.Aamunt: )
SQUARE I:OOTACQ
1 ST FLOOR xq.ft 2ND FLOOR sq.R. 3RD FIAOR sq.11. BASF.MENI' sq.11.
DFCK sq.It. COVFAED D£C'K sq.& SiD)RAOF sq.ft, OTIIER sq.I).
GARAGE sq.ft. Auachcd E. Detached D CARPORT sq li. Altuched[]. Detached Q,
MANUFACT.URED'HOME INFORMATION-- *4 COPTES OF THE FLOOR PLAN REQGIREIVe'
MAKE: MODEL YEAR {f TltiY fi
WIDTH '"BEDROOMS RATFIS 'SEPlAL'NUSTBER
O.WNER.acknowledges that submvission o.f iwaccurate information may.restd(.in a stop work.or6-%r or permit revocation.
Acknowledgement of'sucho is by signature below.P declare that I arn,the owner,and:l kfflher-declare that I'am,entitled to
receive this permit and to do the work as proposed.I have obtained permission from aR the necessary parties,including
achy easement Molder or parties of irdertest regarding this,project. The owner or legal representative,represents that the
Information provided is accurate and grants employees of Mason County access to the above described property and
slructure(s)for review and inspection. This permittapplication becomes null&void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION, INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED,(MASON
COUNTY CODE 14.08.42)
X
Signature of OWNER(Must be signed by the OWNER) Date
DEPARI:NIKNTALREV1I;W APPHOVED DATE DENIED llA'(E TAGS/N'OTFS/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMrNT
FIRE MARSHAL
Pri
a PERMIT SPECIALISTS Intake: '• nntyv ed&Ready fur Pick-Uo:
Visit us on-tine: httlxJ54A.�. asoti:%�:t