HomeMy WebLinkAboutBLD6669 Replace Deck - BLD Application - 6/18/1980 ,. BUILDING PERMIT APLICATION
NtASON COLTY
0�0 P.O. Box 186 Shelton, Wasgton 98584
426-5593
I �0 DATE ISSUED__AWi_:]
PERMIT NO. G 9
WNER NAME MAIL ADDRESS aq CITY;ATE ZIP PHONE
11 o V 1 -Iv �- S E T f w u S -338
DIRECTIONS e
O JOB SITE )( ISC L j ��t
LEGALJ (❑ SEE ATTACHED SHEET)
EscR. /4D1z8fY M0Rr4; /f& S/'DE $e-IAL T ITS - L0T �O
NAME MAIL ADDRESS CITY BATE LICENSE NO. PHONE
CONTRACTOR
E OF
BUILDING V M �IN
Class of work: —t7 NEW ❑ ADDITION ❑ ALTERATION EPAIR ❑ EVE ElREMOVE
Describe wor O
'j'?' "ia C 'e
Valuation of work: $ laOU / PLAN CHECK FEE �� PERMIT FEEo0 i
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOT I C E
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIREDFOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE LI DETACHED ❑
THIS PERMIT BECOMES NULL AND VOI'IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DKS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A'ERIOD 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 11 SHORILINES L7
SEASONAL [I FLOOD'LAIN Li
Firm
E.D. NO. S.EP.A. f I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
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
iJ��/�', be in conformance therewith. i MOTOR VEHIC E ERMIT
OVED FOR ISSUANCE
V W ner Date
M.O. CASH
. ' I' %O AP ATION AC TED BY LANS C K BY ABYPR
PLAN CHECK VALIDATION M.O. CASH PERMIT VALI TION C