HomeMy WebLinkAboutBLD25905 Final Change of Use/Garage - BLD Permit / Conditions - 10/23/1990 Pcrrni-I-�-25905 12309- 3�I--- �0� � l
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Setback: Mechanicalo
Special Interior: 0
Conditions: FINAL:
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Mobile ome:
Smoke Detector:
Remarks:
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Setback:
Foundation
Walls:
Framing: �► �� �� 9a
Fireplace:
Wood Stove:
TYPE CHANGE OF USE/GARAGE
No. Floors 2 Sq Ftg 1200
Permit No. 25905
Tel 275_ 3� Date 6-1 _
Owner MAT PAT Zi 98528
Address NE 2790 Old Belfair Hw Belfa�r P
Contractor self Zip
Address 3A/TR 10 SE-o Soda
Legal Description tl site a3Cmi 1 esTdown,0 Be 7r Hw
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BUILDING PERMIT APPLICATION
' MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 n/ DATE ISSUED
a��%o6) -�p PERMIT NO.
ME MAILADDRESS CITY&STATE ZIP PHONE
OWNER t I Al -2 O
� .
DIRECTIONS TO JOB SITE 3M !' �L
0 w__/✓ o SQL �¢� f,� W YDM A /J 120, ep? e
lV c! or j?6 Ad At 6 N6 '% e
PARCEL 1')-361 :2q 9 e I o O LEGAL Z 1. �'S !4--✓c o A C7 2 C s 23 Rltl
NUMBER 5 p 0 qo� DESCR. g f1Cr 0 .S L O t�'e StJ y
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR (ti Np
USE OF /�
BUILDING p C, e S ��m e d 13 >r Itx t G- � 9� s 2 �6 6Iq
CLASS -N
WORK O✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE WORK rCl A A G e 6 S
BEDROOMS DECKS YORN CARPORT NOTICE
TOTAL SQ.FT.
BATHROOMS 3 DECK �►'/,e GARAGE O O� CONDITIONING.awk SEPARATE
ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
TOTAL SO.FT. �� TOTAL SO.FT.
NO.OF STORIES �' BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. a TOTAL SO.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
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
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
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
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 OWNER DATE d X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION 1C�
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 1"Z7— O
D.O.T. BUILDING f� PLAN CHECK 7 .
SPECIAL CONDITIONS BUILDING GROUP -3. tf)- ( PRE-INSPECTION
SHORELINE
ALL CONSTRUCTION MUST MEET WOODSTOVE
QUESTIONS PLEASE CALL THIS l PLUMBING
OFFICE 15"UH[h ION �"��2� �vn7,F+'-6�fntC O.2CC 0 MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICAT ACCEPTED BY Pio�
APPROVED OR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO