HomeMy WebLinkAboutBLD7153 Roof - BLD Application - 8/22/1980 BUILDING PERMIT APPLICATION
MASON COUNTY g,
P.O. Box 186 Shelton, Washington 98584 U
426-5593
7, I DATE ISSUED
f Z PERMIT NO.
NAME MAIL ADDRESS CITY&STATE• ZIP PHONE
OWNER ell L �' .1 L C /1 o!U .3/b
DIRECTIONS
TO JOB SITE S7- 7- ax 7yd
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. r IAIIA2 — 11
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Se f F
USE OF G
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION PAIR ❑ MOVE ❑ REMOVE
Describe work: Ate- 0a
JVR��
Valuation of worke'O PLAN CH FEE PERMIT-94
a C
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT I l NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE Li
ATTACHED I i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE is DETACHED IJ
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 SHORELINES
SEASONAL I i FLOODPLAIN
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
/be
that I am exempt from the requirements of the FIRE MARSHAL
or registration law RCW 18.27, and am aware
Mason County ordinance requirements for BUILDING DEPT.
is permit is issued and that all work done will ROAD ACCESS
nfor a e ewith.
MO AR VEHICLE_?,EPMIT
AP I TION ACCEP BY PLANS CHECK BY 0"'APkv0VLDfUH ISSUANCE
Owner i ate. B
`, PLAN CHECK VALIDATION CK. O CASH ERMIT VALIDATION CK. M.O. C
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K - REAL ESTATE TAX STATEMENT
iVI.YON COUNTED 'STATE RECEIPT
1 � _
FERRIED • • REMITTANCE PAYAB_E•TC,DORENE RAE,TREASUP-% ..-'F MASON COUNTY NCB.
• OWNER THE NEW I P.O.BOX 429,SHELTON,WASHINGTON 98584 '
` rinrl HALF MUST BE PA,D BY ADO, 30TH 'AY .IE%l AF I ER APPI�.BOTH , •• _ 1
OR ENTIRE VAX BECOMES DELINOUL14T WITH INTEREST N -A PAYMENT IF TAX LESS THAN$10.00 • • • �
j SECOND HALF DELINQUENT AFTER OCTOBER 31ST
DIST. TRAY PAGE TOTAL FIRST HALF SECOWL HA�
.. CODE NO.., NO '- + '� - .w>e► TAX DUE 7AYFAENT .1.8 f_
(175 61 542 1?8731 51500 44610 32,110 41U6 noun= 204,6-
DELINOU ENT'FAXES —WHEN PAYING DELINO,TAXES WRITE OR CALL (426-9795)
FOR CORRECT AMOUNT-8%INTEREST PER ANNUM.
1974 197 1976 1977 1978 1979
RO3FRT AND ROSALIE R ER ELIN- • —
ST RT 2 BOX 740 °TAXI
♦ L FIRE - --- ---- — --
` PATROL
'I6 " 1 TAX
Y TRACT 1 OF ia171 NAB QUENT - - -- 1
TOTAL --- x,. - ----- -- - -
MAIL ORIGINAL W H YOUR `AYMENT RETAIN COPY FOR YOUR RECORDS. INTE
lip,I lA �E3�I4MPETD OIV�YOUR CH O K` COND HALF PAYMENT. RECEIPT NUMBER WILL nvuT -- - - TOa.
I >• 'rPA
DATE PAID, CHECK NO. AMOUNT FAYW
�r P.Q.to,196
MESSAGE DATE 8 15 E30 REPLY DATE 8 20
FROM
Mr. Robert M. Byerly
St. Kt. 20 Box 740 pnclnApd is A copy of the legal
Bremertou, Washington 98310 description of the property
Dear Mr. Byerly:
k:nclosed is your rec eA,t in RAYmeut of your
permit submitted to this office. Lawever, Mr.
Byerly, this office needs the proper legal
description of this property before submitting
the permit to you. It would be appreciated
if you would return the proper legal descrip-
of the property to this office: I will then
send your penlait by return mail. Thank you.
SIGNED ni _____ tip _ . _ SIGNE
SEND PARTS I AND 3 WITH CARBON INTACT -
l Cjn)&.0,,ta-
Redifgrm@) 4S 473 PART 3 WILL BE RETURNED WITH REPLY. POLY rAKso SETS)wn3