HomeMy WebLinkAboutBLD N/A Pre-Inspection on Expired Permit #22433 - BLD Application - 8/2/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
UE MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER C IStftYZ ,� � t ��1�z s c�hS Z6 ��s l+V
DIRECTIONS nTO JOB SITE il k F 1 \ c''�tZ
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PARCEL LEGALIf
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NUMBER DESCR. 1 _
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF _
BUILDING �llS
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK � i -CT t3 LJ
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 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. - C FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I A EXEMPTJING
QUIREMENTS OF THE CONTRACTORS CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW CW 18.27, OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FO WHICH THIED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITS SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING A PROV L FROM THRTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNEf t DATE 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
X / SHORELINE
!a!� WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
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
August 4, 1988
Michael W. Fisher
N.E. 1100 Old Belfair Hwy
Belfair, WA 98528
RE: Requested Residence Inspection
After completion of the requested residence inspection,
the following items will require completion, prior to a
satisfactory final inspection.
1 . Smoke detector' s on both levels
2. Wood stove brought up to code
3. Hand rail on rear deck
4. Front steps to permanent code _
5. Balance of siding to be completed
If you have any question please contact our office.
Sincerely,
ayne Lxrause
Building Inspector
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