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MASON COUNTY PERMIT NO.
COMMUNITY SERVICES DEPARTMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg.#8,615 W.Alder St (360)275-4467 Belfair ext. 352
issa Shelton,WA 98584 (360)482-5269 Elma ext. 352
DEMOLITION PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:5-+-"t 1-"�A NAME:
MAILING ADDRESS: / �t�y ue, 4 . 1 k, ( c� MAILING ADDRESS:
CITY: -FtU STATE: �A ZIP: 983-gk CITY: STATE: ZIP:
PHONE: CELL: ziao- D 04'-30s3 PHONE: CELL:
EMAIL: 14,k �s Wv A ro EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) : i r-6 SC
SITE ADDRESS No CITY
DIRECTIONS TO SITE ADDRESS:
IS PROPERTY WITHIN 200 FT:
SALTWATER[] LAKE❑ RNER/CREEK❑ POND[] WETLAND,d SEASONAL RUNOFF[] STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[I NO ❑
IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE PLEASE
CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO
ENSURE REDEVELOPMENT.
USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) l�u5t
HOW WILL THE DEBRIS BE DISPOSED OF?:
E A PLOT PLAN INDICATING LOCATION OF STRUCTURE SWAW)LISHED
` �Street
T{U M,S�
O NER/CONTRACTOR acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or contractor. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary
parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for
review and inspection.This permit/application 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 IS BY MEANS OF
INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature o pplicant Date
X ��P ��, �� OWNER/ REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
BUILDING DEPARTMENT
PLANNING DEPARTMENT