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-76
MASON COUNTY PERMIT NO'
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, 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's IIK�r>1 ' T rta a t l= k N 14 KU V-K Company Name —;Z00 bJ
Mailing Address a rA ItzT rp, Mailin Ad ress 3 C (,O
City�gitt + State �Zip Code 4"61 City State l� Zip Code 7ZILL
Phone ' i, 4Z7-y 40 Other Ph. Phone - Z- Other Ph. -3iO� 9
Lien/Title Holder Las rat rt*W rx-� Contractor Reg. # Exp
E mail address E Mail Address 0'j
Drivers Lic.# n ►=a ►��i � DOB 1- i'�-51 Drivers Lic.# DO
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well jX_Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No. ' L•f !.3 C' T t'? i Fire District
Legal Description .i ► 21 ` W 'c
Site Address(Please include street name, street number and city) _3 , A ' � ,
Directions to site ► �'''' -rn b Z;� __/ azi wit c Will timber be cut and sold in parcel preparation?Yes/
Is property within 200'of Saltwater V Lake % River/Creek' Ll±Pond
Wetland Seasonal Runoff 2IIJA Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yesk4o
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑
Use of Buildingif yz.-r
1`
� Describe Work i"`tiL� r`,--��"
No. of Bedrooms :3 k No. of BIathrooms 2- Square Footage- 1st Floor JtiEEfk ' a� 2nd Floor `
3rd Floor AT_Basement AT Deck Covered Deck -> Other Sq. ft.
Garage X Attached X Detached°. 2) X Carport Attached Detached
MA.NU.F-ACTURED-.HO. INFORMATION Make Model "Year Length Width Serial No. _No:of'Bedroom-�s`" Ro-ef-Batgf-ooms
Type of Heat Purchase--Prloe$ Replacement Unit? Yes/No
Instal Marne--_- Certification No.
OWNER/BUILDER 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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,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 information
provided is accurate and rants em loyees of Mason County access to the above described property and structure for review and inspection.
PRQOF OF CONTIN O OORK IS BY MEANS OF A PROGRESS INSPECTION,
9�
Date;
Owner Owner resentative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: . ij jj Dated
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department i+ f , :� g'1L 'y
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Plannina Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid al Submittal
Valuation$ TOTAL FETES