HomeMy WebLinkAboutBLD7407 Change Garage into Rec Room - BLD Application - 9/15/1980 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /-�
DATE ISSUED
PERMIT NO. `J`y 2
OWNER N MAIL ADDRESS CITY 8 STAT ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. ,CL s.' liC✓dp �� ��>i'G,B3
NAME MAIL RESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR � ��/�� o � / �� _D �^ so _ )_ 2660
USE OF �h '�b-e. �j�,
BUILDING
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /y /7
Valuation of work: $ PLAN CHECK FEE PERMIT FEE �� 5 G
-2 S U 0 �7
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑
NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT [] SHORELINES
SEASONAL ❑ FLOODPLAIN I I
Firm ^ O
E.D. NO. S.E.P.A. CI
By ,p Special Approvals IN OUT YES APPROVED NO
Lic. o. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that 1 am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
ICATION ACCfPTEDPY PLANS CHECK BY A PROVED FOR SSUANCE
Owner Date. r
i
PLA CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. C H