HomeMy WebLinkAboutBLD2013-00019 REROOF - BLD Permit / Conditions - 1/10/2013 ,
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MASON COUNTY PERMIT NO 11�U1�-6061.9
BUILDING PERMIT PPLICATION
426 Vtr_ Cedar- P.O. BOX 1136, Shelton, WA 98584
Shelton(360)427-9679•Belfair(35M ? 5-4467•Elma(360)482-5269
On the web wwAf.co.i iason_wa.Lis
Cfl TRACTOR INFORMATIO
APPLIGA TINFOFftJIATIN j
Own,,,
Cori party Name CCz� ^i ti L `a
-t :c Mailing Address : 4L `� I
TJailin Address rt; ._. ` city °Cl s< r State r
lode �'
�—--
C tty _ �hn °ice.. L �l ' t{' t to h.
Phone �jlkC �I. I : ---)-her '_,"n,_---)-her Ph. tt r
GG uc3it'3C ley. '�1�Y'1��'t�.s.s ,
Lien/Tit#e Holder E M it Address ilig '=Cy r tt
E mail address DOB
Drivers Lic.r
DOB Drivers Lic.a
SEPTIC 1 WATER SYSTEM INFORMATION-Connect to New e tic - E)dsting Septic
Connect to Water System Name of Water System
Weil Water System Name of Water System
PARCEL INFORMATION-12 Digit Parcel No I t=- w f Fire District
Legal Description2 i "` -
Site Address(Please include street name,street numoe and r t
I
D' ctions to site t✓ `
Will timber be cut and scold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake Rive Creeknand
Welland Seasonal Runoff_Straam—SIC pes Of Bluffs} 15%
Is this permit submittal the resuFt of a Stop Work Notice,Correction Notice or ether enforcement action?Yes1No
TYPE OF JOB New —Add Alt Repair Dt:er _ PRIMARY RESIDEI-3E _! SEASONAL Q
Use of Building - E R. Describe WorF_ -
No.of Bedrooms No.of Bathrooms Square Foo" ge-1 st Floor.—.---2nd moo'
Deck t :e Deck Other Sq-ft-
GaRoar n-cement Attached Detached
Garage. ...ached Oe;ached �' ort
MANUFACTURED HOME INFORMATION-Make Model Year
Length Width - Serial No. No.of Bedrooms No.Of Bathrooms
Type of teat Purchase Ptici $ Replace rent Unit? Yes No
L stall=r Name Ce dficatton No.
OV"ERI BULDM cm es submission of inacauaie 4rrforrnatiu^may salt in a stop vaortic ouier or pat. ur s :,.Eccrr Art? erne f or
sects is by signab ire beiaw.I de 4aree that I airy the owrfer,owners ieca r.:p ova,orthe contractor.I kir her declare that I am erstit ed to r&eive till=
permit and to do the ivory as proposed in the application.I de'lars ti-at l have cb ed be permission from at if permission is
raq?ured from arty easement haideror any ct)ar party in interest r gardirr3 this aVOjication or the nark prop:seu In the appiicafkn,1 have o"btai�-ed
wiussion from them to apply for this permit and cond=the work pmposad. The owner or agent on owners be -F,repress n, the information
provided is ao i and gram s employees of Mason County,amass to tte arp a oas=bed Property and stau--tire for review an-J nsp---to.-
P 001`OF COI ATIOp OF WORK IS 6Y MEANS OF A PROGRESS INSPECTION.
3
Dale-
Owner)Owrfers ce ,e co—actor,)(indicate which oche)
FOR OFFICIAL USE BEYOND THIS POINT Accepted:by: Date
DEPARTMENTAL REVIEW APPROVEO DENIED NOTES
Building Deoarrnpnt
Planning Department I
EnvironmentaLl isaith;,Department
r
Public Works Department I
Fire Marshal
FEE
Building Permit Fee EH
Inspection
Plan Review Fee EH Review Fee
Plumbing &`vase Fes fan iin Review Fee
Mechanical&Base fee then i
Wood I Gas/Pellet Stove Fee State Fee
it►olation Fee
re-Paid of Sub tittal I
Valuation$ TOTAL FEES