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BLD88-22481 REROOF - BLD Permit / Conditions - 8/8/1988
Shorelines: Plumbing: Setback: Me0b anical: Special ;interior: Conditions: FINALc Mob'i 1 e Home: Detector: Footing: Remarks: .. Setback: Found a t ion �• _ Walls: Framing; - c Fireplace: n Le c Wood Stove:_, L w TYPE RE ROOF Permit No. 22481 No. Floors Sq Ftg Owner GIBSON, Mike Tel 426-9287 Date8-8-88 Address P O Box 294 Shelton Zip Contractor Self Address Zip Legal Descr iption Park wood Lot 7 Direction to project site E 100 Park Rd ------------------ Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 20 sq. comp BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL r ERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUE PERMIT NO. rc 1�✓ / OWNER NAME MAILADDRESS CITY&STATE ZIP P ONE DIRECTIONS ,t TO JOB SITE PARCEL LEGAL NUMBER epoc�lz S 2 OffQ-� DESCR. �'a�e�' ( � " - .�s` NAME /) MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE 14 4� BUILDING �f CLASS OF NEW L•, ' ADDITION ALTERATION REPAIR FM VE REMOVE WORK ✓ DESCRIBE WORK Kl � ,�//� e A F.)ty C © l /� ' 1� . ��e.GCJ U" BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT 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 A ARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT I 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 C ANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING A#PROVAL FRO4'THE BUILD! (,DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWN ` E XBY DATE FOR OFFICE USE N LY DEPARTMENT APPROVED DEPARTMENT APPRO D BUILDING VALUATION YES NO YES NO -- HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE --� STATESURCHARGE :ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION aBY CASH CK MO TOTAL