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?ermit No. 26984 No. Floors 1 Sq Ftg 576
Owner CALLAGHAN, 011 IAM R. Tel Date -, --
Address PU BOX Seattle Zip
Contractor selt
Address Zip
Legal Description Star Lake cliv o
Direction to project site ar Lake Dr
Cor,,imunity Hall L to other side ot Lake tollow same r
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P un ing Mechanical Sewer Wood Stove
Fireplace Deck age Z,a port
Basement t Other
.BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEI��YA
PERMIT NO. C7
NAME MAILADDRESS CITY&STAY ZIP PHONE
OWNER '"✓
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DIRECTIONS
TO JOB SITE
PARCEL LEGAL f /�
NUMBER DESCR. TOr� 40 � �/ Vr 2 Z,)t N(5 ��(f T�
• NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR t6`� L
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SQ.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT. KONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM QXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
w;r
XOWNER l n DATE �u 7 "�� XBY __ DATE
FOR OFFICE USE ONLY ��11
DEPARTMENT YES
PPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION V
HEALTH { � PUBLIC WORKS FEE
PLANNING °� i'� FIRE BUILDING PERMIT ,
D.O.T. BUILDING _L PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 1 �G PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICAT N ACCEPTED BY PLANS CHECK BY APPROV R ISSUANCE [PERMIT VALIDATION �J
%,- • ` �� �;.�,C TOTAL
1L�- IBY CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS ��/ ` t_ CITY B�ATE f7 9�`-lIP + PHONE
OWNER Wf �U rv' P�. � /b SS ..(.,u//e !�t &
DIRECTIONS
TO JOB SITE
PARCEL LEGAL ^� Ae
L/ �a �(,� 4�a /0
NUMBER DESCR. G�
Indicate below: O Property lines and dimensions.
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.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
10 Attach copy of septic system"as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
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I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR.AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O.Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
November z3 , 1994
RE: Building Permit No. : ZC� t{ IMnriz_ tl
Dear YV�e - �, Q_cU1•v�
A recent review of our permit records indicates that a final
inspection of the above permit has either not been done as required
per the Uniform Building Code or we do not have the accurate update
information in our files .
If the final inspection has been performed, please send a
photo copy of the orange building permit with the signature and
date of final inspection so that we may update our files . Pursuant
to the Uniform Building Code, Table 3 -A and Mason County permit fee
charts, the building official has the authority to charge $25 . 00
for inspections on expired permits, an expired permit is defined as
a permit with no activity within a 180 day period. However, if you
find that you do not have record of the final inspection, we will
waive the final inspection fee of $25 . 00 if you contact our office
prior to January 14, 1996 to arrange for the inspection. All
permits to which there is no response will be marked null and void
by expiration. Any request for a final inspection after the permit
has been voided will require the inspection fee to be paid.
If you should have any further questions; please contact
either Toni Hermansen or myself at (206) 427-9670 ext . 356 .
Sincerel ,
Cheryl gan
Buildin Department
cc: Property File
Taxpayer (if applicable)
Title Owner (if applicable)
Contract Owner (if applicable)
MASON COUNTY ' `
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. 111 426 W.Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water
April 24, 1992
William Callaghan
PO Box 48162
Seattle, WA 98148
RE: Permit Application
Dear Mr. Callaghan,
After a brief plan review, it was determined that you will
need to supply more information prior to the approval of a
building permit for your proposed project.
It is preferable that you make an appointment to come in
and go over your plans with us in person and answer any additional
questions that may arise. Please schedule time directly with
Mr. Wayne Krause, the building inspector for your area.
Mr. Krause is available by phone from 8: 00am to 9 : 00am, Monday
through Friday at (206) 427-9670 ext 357.
YG
You,
riffey
Building Department
CC: Property File
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