HomeMy WebLinkAboutBLD N/A Pre-Inspection - BLD Application - 3/29/1989 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
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✓ ��J� /�� �D/�`O PERMIT NO.
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER r� E. 3330 516.22.
DIRECTIONS /
TO JOB SITE re) , Q nL Jhu.^e / a
Dr - b1 ff6G� 71 /
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PARCEL LEGAL % . 3530
NUMBER DESCR.
NAME MAIL ADDRESS CITY 8 STATE JLICENSE NO. ZIP PHONE
CONTRACTOR /7 /S 9_ _
USE OF
BUILDING
C WORK ✓LASS OF NEW ADDITION ALTERATION REPAIR MOVE ` / REMOVE
v
DESCRIBE
WORK J" /7 7
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 SAYS, 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
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN E G DATE rJ d'i7 / X BY_____ _ - DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YES NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
IBY CASH CK MO
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex I N. Fourth & W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water
April 5 , 1989
Stephen Cagwin
NE 3530 Old Belfair Hwy
Belfair, Wa 98528
Re: Tract 15 NE SE of 1-23-09
Mr. Cagwin:
Inspection of the building located at NE 6721
Northshore Road in Belfair, indicates that the
building is in such bad condition it will not meet
the B-2 requirements of the Code. Due to the lack
of structural integrity, this building should be
destroyed.
Thank you.
Ed Piland
Building Inspector
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