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Home My WebLink AboutBLD23430 SFR - BLD Application - 3/13/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUE/& <f7 LQ PERMIT NO Si)3 NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE OWNER ,ruv%K NoklrjS, 2.LI1(o 2Y3 Ld AL 5 e. o'th Q ll w u q 0 7L' DIRECTIONS 1 TO JOB SITE Letk� h6v2 J V. -tG a-c— Cc"^r. S l l h Lull4 LA",U V. PARCEL N U M B E R �� 0 5y 6W'4169 LEGAL ,e DESCR. LoZ"' �-(' � ✓.HIV S L- alte Lave V,lkeej NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. ZIP PHONE CONTRACTOR �_C e orST ,0. hlcuq 77fr l( Wc4 -{ COY) 27 W10 27 >:-?9j USE OF BUILDING tZe s J e vkc e CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK I A-e%Aj tovh BEDROOMS -3- DECKS 711111001I CARPORT Ny NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS ? TOTALSQ.FT. Lt2O GARAGE NO CONDITIONING, NO.OF STORI ES 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 SO.FT. l HV 4 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL '--<' OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE �EQUI MENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SMALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROMTHE BUILDING DEPARTMENT. APPROVAL�FROnM_TH-E_BUILDING DEPA�RjTMENT. FOR OFFICE USE ONLY je DEPARTMENT APPROVED DEPARTMENT Y�PPROVEDIO BUILDING VALUATION YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK ZS SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION f Q7EIQ �� iNy'S SHORELINE ' ,00 WOODSTOVE PLUMBING �cpil ` MECHANICAL TATE BUILDING FEE STATE SURCHARGE APPLI ON ACCEPTED BY PLANS CHECK BY ]APPROVED FOR ISSUANCE PERMIT VALIDATION ��(/f� ilr/(/ic /b CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY d STATE ZIP PHONE OWNER r Nk hlgrd ;.41to 243,JQL SE 9 �rv;k1 DIRECTIONS n 11 TO JOB SITE I v�To lie Lckx^ LQ * * Ov,To Luke- 51�ov-e d ir. 3�` VAn IIQ OVA o' Inf + LEGAL DESCR. Lc,-r LICK (J-xV e CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE (3- C Co.�Szruc� to ►� P,P 0 7 7 IT 0 )1 Cov� 77361 o 2� 5 79► USE OF nn BUILDING t`24; J e he e PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE t2 WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 a BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS 2! REPAIR/ALTERATION 6.00 ( WATER HEATERS 2_ REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER AIR HANDLING UNITS 7.50 1 SINKS ,z HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 3 VENT.FAN SYS.3.00 PER UNIT -7, �"— LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 I DISHWASHER 2. DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL :?3 6' TOTAL SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1B0 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE XBY WA. DATE 6 q FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP TBYztx PPROVED FOR ISSUANCE PERMIT VALIDATION 3 CASH CK MO I mf. 1 ri 1; f1cc:�1t 'rlarcJ; L�r L�;� t: s_ 70' I I s sc 0 Z r r, L S 1 Co ^ i I I I I 4 i � I k ti I �vea LcAke