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BLD25579 Ramp and Dock - BLD Permit / Conditions - 5/3/1990
Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINA Mobile c e: Smoke Detector: Remarks: Footing: SSetb ck; Foundati Walls: Framing: Fireplace: Wood Stove: TYPE RAMP & DOCK Permit No. 25579 No. Floors Sq Ft 540 Owner CHENOAETH, Qonald Tel Da e Address E 9181 Hwy 106 Union Zip Contractor Address Zip Legal Description E 50' Lot 3 Nly of Hwy 35-22-3 Dire;.tion to project site Above address Plumbing Mechanical Sewer Wood Stove Fireplace Deck arage arport Basement Loft Other BUILDING PERMIT APPLICA 591TIM MASON COUNTYFT DEPARTMENT of GENERAL SERVICE Np� 1990 P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DAT 1A e31ENI A� +E QRMI �. —� �l NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER Dnjaall OkebtawAh ONS TO JOB ISITE 9{ l4w,4lot, L / �r -�- /� 7y 7 /.7,/ 4.d au e uP ZL. J OO /�EaE/LNGh WiO 905—z PARCEL LEGAL F_ 6a <.1 3/ SlIC �^ 3S T Z c3� W �l i' lf NUMBER DESCR. �/ NAME MAI ADDRESS C &STAVE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING {�(a,.►a � Floe k6 Dock- CLASS CLASS OF NEW X ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK 4 1C�b / �41A'aej 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 O NERS AFFIDAVIT CONTRACTORS AFFIDAVIT I ERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF R ISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE R QUIREMENTS 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 I CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING TAINING/APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. 1+ d '✓ y DATE b� '� ��G' X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES- No NO DEPARTMENT YES No BUILDING VALUATION !� HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT © fl D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION ✓ SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY CK BY�� Q APPOM,v D F ISSUAPERMIT VALIDATION TOTAL ti ` BY mlj��JCASH CK MO