HomeMy WebLinkAboutBLD7023 Garage Door Removal - BLD Application - 8/1/1980 _1 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /
DATE ISSUED
PERMIT NO. �0�2
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
w lrs o �S 5h. e i±*
DIRECTIONS 1 /
TO JOB SITE 6 Fc� 0 , -� -7CJv �5�p (�
e ca.S� '0�(r
LEGAL (❑ SEE ATTACHED HEET) /
DESCR. S WAc, 4S r
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF � J�
BUILDING Re s ,�J'wcti.Ce_
Class of work: ❑ NEW ❑ ADDITION KALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: / _
��c•f� a eQr o,-
Valuation of work: $,�'.�oof� PLAN CHECK FEE PERMIT FEE �,�✓
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT X NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE 1 1
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Ci OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE f I DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME 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 LI SHORELINES I1
SEASONAL [] FLOODPLAIN C]
Firm E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. E
PUBLIC WORKS
I certify that I 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
�r0 A (CATION A BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH