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HomeMy WebLinkAboutBLD7649 Remodel Porch and Cover Over Pool - BLD Application - 10/15/1980 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME _ MAIL DDRESS CITY&STATE ZIP PHONE DIRECTION a 7�"-94/0 TO JOB SITE LEGAL ,-/ ��) / /� 2 ,( (❑ SEE ATTACHED SHEET) DESCR. W Ste/ �(/ �P6 /�P �o' J /1hz NAME MAI ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: ❑ NEW ❑ DDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: / j1 Valuation of work: PLAN CHECK FEE _, PERMIT FEES© 404406. -ter-' SPECIAL CONDITIONS: BEDROOMS DECKS------- CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED f 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 I SHORELINES L SEASONALh FLOODPLAIN Firm E.D. NO. S.E.P.A. LI By Special Approvals IN OUT YES APPROVED NO Lic. No.— Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I cer fy that I am exempt from the requirements of the FIRE MARSHAL c tract or registration law RCW 18.27, and am aware BUILDING DEPT. %f) / f the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT ` //J/�_ P CATION AC E BY PLAN CHECK BY APPROVED FOR ISSUANCE owner Date. v ,t,� �.��c- BY let %N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH