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N 00 0 0 (5D CuD a 0 o o v 5- __ (D C 0 0lD A C a) —, — O CD CD co 0 co n- N cp * • (D Q = 5 — o 0 co Ni Ni 0 'n X0 D o X0 -o Xa- ° D X o D > XO: -1 D Xu» X'a u) D X0co > O Xoov -I 0 0 0 0 o = vim — Q = � p ten, — * —0 CD e = o fao--p cn (D 0- 73 s (D Z (n0 0_ -, _ cn v < x m cD \o C su o ° m cD \- o chi • ro �� O v°, �' ° �� � a 2 \ • 0. C al a vo 0o m � < � � a) 3 � 0 � 7 � w ao ° � < o � ° � � cn co (DC 0cQ ° � a) cn 3 cn co a) C -h m 0_ cD - c -o m 3 cn cn ° Cr n 0 in 0- n) -o ,, tD o c O.. ro (D c 0 tD o. 00 N o w y w cn • Us N - Z 3 an -a CO. D � o cDoo ° ate 0 CD Do = o ° -, . c (DCD -0 cQ 0 x fl, N - m q C 0 ° v D � ° N v - 0 0 O = 0 3 p fa c �. � O P- o N p w 0. 5 7 O () v v C O Ui 0 a � 0 c 3 3 � �• (D ° m CD p w p 0 (co .D ,� N 0CD 7• CDco 5. X WSD 5 cn -0 n 003 a 3 �• o — roc° -hv . (D N jai Qa lD (3D N crCOCD Q6N (D < -0 5' CD 0 O � m v a cD o3 o _• °• v 0- Da _. � � m o 0 _ o -h _c n c» c fl v -' , C D N � 3 3 v � o CD � D � — v 0 En 0 -D D) cncn cO730 a- 3: -a0 0. 30 -" ° ° o co ? 0 L 7C c C N 8 ,� N v 0 CD_ ro 7 Cm3:1 03 o n, — o co c7Q 0 j a 7 O< Q (D (D' C ,� 0 Q ._„ 5. 0 7 ,. Ff o_ o C • O o O N (D v al 00 CD 3 3 -, N O 3. cn (D co o7 0 `n � 03o cn * 3 O ° � �. -� 03Q (n0o -, o Ni )(n C v — o a) op pv -cov Ni O (D Co (D fD O () -, 0 -., (n 7 cn � 0 o ° o 73 m __74• 0_ 0a o �� Cm m �' 5' Doco 3 o v o" O.0 CD D 0 N Q a � 0 C 0 0 0 Q5cfl n, o 0 3 v w o o co� 3 ° � � o CO 0 o' o .< c - m ro Q ° v B o c C v � X ° O CD , CDD -0 0 7 � Co m �• m a _. ° o� 3 Q 5. CD o v v CD cu � O a, o 3 v 3 cD �'. � o o voi -0 7T �. D7v a m 3p = a) v v ° c v �", c°n O 0" (n lD 0 kZ 7 a Q '+ cn 3 -p (D coo � �' (fl 8 — (D ,< m o cam ° N O so. - co � � - 7 � � � C � 0 ° 3 m Nv rn oow a o_ 905 0 CD 0 3 -. ) N cD ° v (n 0 cD a)) (D 7 07 coi !!X`` o n Qa v, cn D. o Q. * N 0- -, = O ccn \� 0 N (D �. c0i, (0 N N fl ° ° 0 \ ° 0 cn o v Q 0 0 3 � v c° ccDn, < mQ m • _O oo cn o 0 O - C Q`< p O can 3 3 3 N a -h n' fn `< 7 N CD 7 3 fn (o (p 0 a) p W 07 = C p O C (n co � � (a � � Q 0 -o � 3 � Fw a (D -i S o - � (p Q N � � 10 ,-r * fl) CD 0 N ° Q 0 a, � (-�, (� a -14 a� � 0 0 NW = D 0 Q � O a) Q o � � a 0 v CD 073 o ° C�� ° 03 v . O O p < 7 n) `< CD 0_ N (D O < 0 7 (D CL 7 0 O ? p Q Da R. TI - 0 0. 0 CD o Cl o 0 m o a O 3 oCL 0 CO (D fD N cn = 7 F 0 < X N 7 0 (n -CI lD cD lD 07 - cn 0 0 7 CCD 7 N 5' N x 7 0 Sl, (7 (0 — „ p (D , =- 0 Cl * p 00 • () Og N 7 0 p 0 -, O C 0 G) 3 u O 0- °CD 3 0 O (Q C 0 (D o �, 7 -p -I 7 ti co = (D . 7 ,r 0 -, p) o o. 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I ".--a •• ,t.4` .•:i 4 r, : 4 t^ . .w $; ,,,,* Y,p w • y 4 t T.4 t''r'. t,4 t G a i 4,v 4 a u t , e 'pr. r s aav+e i•, T ''4 '�Y3Pt py i t e ' ,> °b''W o t c.` • "�.' t pia ;x?s'»� •x'-.. ' . � *''.a� -'-''�4 :• t ��N , t .-tom y� , t, ., � a� ¢.� � ''`•P�, . _ 1Y'A^ uT x 1'g .4.,.. rt� 1a d ��1�lr i11'h�ri(t�.; .' r�.4... 'i�.+t�'tiw:� 1. �• ='f V "•� MASON COUNTY Permit No: �� —' ,,,y t. , DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING'••PLANNING••FIRE MARSHAL (360) 427-9670 She ton ext. 352 h `"' lr http://www.co.mason.wa.us/community dev/ (360) 275-4467 Belfair ext. 352 '',,;,, rssa oi.44,''b 426 W Cedar Street, Shelton WA 98584 (360)482-5269 Elma ext. 352 Bil LDING BUILDING PERMIT APPLICATION &Ctc.Q., eK-5 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: N.A. NAME:\') c t n n I,n u sV yr,ain F am• ., L_L C NAME: MAILING ADDRES p 0 \3o X 6i MAILING ADDRESS: CITY:\-A cx,cls`a c, r 1- STATE: W Q ZIP:9 2 S 48 CITY: STATE: ZIP: PHONE:, CELL:-jO 6-81.8-7,Sci 7 PHONE: CELL: s 17, EMAIL: ; van 0-v.v.• ��b �- a.o\, c own EMA_B, _ V L&I REG# EXP. C�h 4lP CONTACT : OWNER CONTRACTOR ❑ BELOW [1426 U' `,r/_ ,r�, c T NAME: \2,..8,,r\0,yd \\X1c.v\ c v. MAILING ADDRESS: P 0 x "7.6 1 CITY: aacls y o,N. STATE: Sr i C ZIP: s•-t,9 PHONE: CELL:'1,06-�14- 2S`I7 EMAIL: Ynav,v...v.� - \c, o�o�.. c.o w. PARCEL INFORMATION: u z-) zct _S cN _ u n o a 7 PARCEL NUMBER(12 DIGIT NUMBER) 3-kg - S 0 d c)\1 FIRE DISTRICT 12 LEGAL DESCRIPTION(ABBREVIATED): SITE ADDRESS (-!3 t t c��k C�c� a� - CITY C, s\'C.IA u.\ (a DIRECTIONS TO SITE ADDRESS - \\' �c W-.( i,c.,.c - 'Q r, A,;, 'S7�•e\ r--t� ,V1. -A Q \ c .1.-- o vs. -'r\1e .cs `c...., t kc,5-k- G cab\•N. d v. "N\- o ct ck IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE 21 RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF TIIE PROJECT-GREATER THAN 14% YES❑ NO ❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION I REPAIR g OTI{ER ❑ �fi f USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) o C. (}Y\ L CxI,Gf C,(i145 11 N1Q A IS USE: PRIMARY ❑ SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS D SC' IRE WORK r SOU REF0' TAGE C1A(It�M') -t -S 46 X I l • )6CLA li' 1D 1420` (1'1')13 1ST FLOOR sq. ft. ND FLOOR sq. '. NI9 F •OR sq.ft. : A SEMENT sq.ft ,oa ` ^� DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER 2,00 sq.ft. oc GARAGE sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DET A I I,it I MANUFACTURE E INFORMATION: N A *4 COPIES OF THE FLOOR PLAN REQUIRED MAKE MODEL YEAR TH WIDTH BEDROO BATHS SE ER OWNER acknowledges that 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 or owner's legal representative. 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 legal representative, 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 APPLI ION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) 9 - ac) - ao 1 5 x ,4,,,, Signature of OWNER Date