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MASON GOUNTY PERMrr NO. bra 20 2_00� 0
BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 136, Shelton, WA 98584
Shelton (360) 427-9670-Belfair(360)275-4467•Elma (360)482-5269
On the web www.co.mason.wa us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 711 c rc W-) -5 v. Company Name
Mailing Address ii '_RC C S Mailing Address
City_Sy sc c i c� State v T Zip Code Qti L Z-i City State Zip Code
Phone k L 6-73- s z ycc Other Ph. yz Svc 311 Phone Other Ph-
Lien/Title Holder Contractor Reg.# Exp.
E mail address ( '"��^ \� `^t'"$} r t~°�i`' E Mail Address
Drivers Uc.# i DOB < `a �s Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION-12 Digit Parcel No N Fire District
Legal Description L��f t S% ?I�+ k' D �y3 � ;'.�r k�i z ,�,�; Diu 4 rt,1s. 1z #%'i1 �59 d/ fL rsu . .fy,t✓A
Site Address(Please include street rname,street number and city)'D• w A,r
Directions to site T_ u l ���� t^ ''^it l�e �r� 1�-Y� r Z r kar t<<`4 a 71
i k a4fJri .� t f L
Will limber be cut and so d in parcel preparation?Yes A o
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB-New Add Alt Repair � ,O'Cther PRIMARY RESIDENCE SEASONAL
Use of Building Describe Worm t�. ,�q-}p� tc,
�f"'�� +C�i�" E( +'1 E�l�� d.' <:.`3-Lo,F n re C
No. of Bedrooms No.of Bathrooms Square Footage-1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION -Make Model Year
Length Width Serial No. No.of Bedrooms No_of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
CVVNER/SU DER Acknowledges submission of inaccurate inbrmabon may result in a stop work order or permit revocafiom Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal represeritaM,or the contractor.I further declare that I am entitled to receive this
pemut and to do the work as proposed in the application I decare that I have obtained the permission from all the necessary parties.tf permission is
required from any easement hoider.or any other party in interest regarding this applicabon or the work proposed in the applicafion,i have obtained
Permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the irifom--bon
provided is accuraie and grams employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CO UATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X � D �S h Z
Owner/Owners Representafive/Contractor (indcate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by.- Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department � y
Environmental Health Department C
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbinq&Base Fee 'Planning Review Fee
Mechanical&Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES
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