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HomeMy WebLinkAboutBLD35354 Garage Addition - BLD Application - 3/28/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED2 PERMIT NO.« 5 AME MAILADDRES CITY&STATE ZIP PHONE ITO WNER /��- Lr y!d D (1 d IRECTIONS n JOB SITE AST 1�L - QQ I b h( ( u PARCEL ' LEGAL TeFK w I u (,�A SEC O, NUMBER �� � ��_3 r � DESCR. 0j` pN 7' j W l!`+ NAME MAIL ADD ESS CITY 8 STATE LICENSE NO. ZIP PHONE CONTRACTOR � $91315 USE OF _ BUILDING CLASS OF NEW ADDITION x ALTERATION REPAIR MOVE REMOVE WORK r / ` DESCRIBE _ WORK j).�11 ier 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 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERSAFFI AVIT CONTRACTORS AFFIDAVIT I CERTIFY THA I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMEN FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. OW ER DATE X BY DATEr /I Azq 3�/7 FOR OFFICE U E ON LY DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVEN0 BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT j,© D.O.T. BUILDING PLAN CHECK CJ SPECIAL CONDITIONS BUILDINGGROUP ` PRE-INSPECTION SHORELINE �qpo-3 Cr Oro WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY (2•� ED ISSUANCE PERMIT VALIDATION �� TOTAL CASH CK MO ��� too 9 ��XG i'r �J r'o S �' lb` P Y7re6arW V ceT4-KoeiZAPPROVED ° MASON BUILDING INSPECTOR CHAW' S SUBJECT TO APPROVAL Date ` r t 2dO IL is DAD O b ' o I i y _ 1A ✓ ` � h } fl _ _ t _ � _ _ ..__�_ '�'� ._._ + �--_- -.-�• ,.»� ._::.�}._,_,_.�....-.-_,.s,_ - n ,ice �.t 1 Ott t 14 _ - f. ; •f .� -L lr� Iq r fy .. ..y t. ..Ji - e /: '. J ",yjj 4 _ ,. -4.•.'1,.1qu.. zr MIX J'J 1t 3 0 ,�