HomeMy WebLinkAboutBLD17805 Repair - BLD Application - 8/14/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �-7 y/,
PERMIT NO. /, Cfo
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Cecil Garrett NE 340 Hwy 300 Belfair, Washington 98528
DIRECTIONS
TO JOB SITE N.,F 3i•n ur._y 3Q0 Belfair
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Tract 52 E. half of N.E. corner N.W. of corner Section 20 & 21 Township 23 Range 1
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Dray Enterprises,Inc. 607 So. Charlotte Ave. Bremerton,98312 DRAYE*l7lLt 373-1441
USE OF
BUILDING Repair
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION a REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
3000.00 36.50- /47,
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. F .L-10-0- 43bEPLACE ❑ 1 DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I ertify that I am a currently registered contractor in WORK IS COMMENCED.
e State of Washington and I am aware of the FOR OFFICE USE ONLY
rdinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT t_l SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. El
APPROVED
By
Special Approvals IN OUT YES NO
ic. No.nRAYF. 1711.t A Date >>_Q�7, 1 AR5 ZONING
PLANNING DEPT. '
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of 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
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. pp � e
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING