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Home My WebLink AboutBLD4131 Alteration - BLD Permit / Conditions - 2/8/1997 Mason County Federal ,Credit Union #4131 • 2-8-79 SE 1/4 NW 1/4 28-23-1 Suite F & G Belfair Center Alteration, remove wall, pour concrete floor, carpet and install portable dividers. $1,500.00 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 p Q DATE ISSUED a — / PERMIT NO. OWNER NA�vIE AII,AD ESS CITY&STATE ZIP PHONE DIRECTIONS / r TO JOB SITE LEGAL ,I ' / (❑ SEE ATTACHED SHEET) DESCR. �14 /v /!q 1- —023 NAME MAIL ADDRESS CITY&STATE LICENSEINO. PHONE CONTRACTOR USE OF ec K&,� L- BUILDING !1� Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe ork: I Valuation of work: $ `��,n v� PLAN CHECK FEE ,�� PERMIT FEE SPECIAL CONDITIONS:: J(� BEDROOMS DECKS CARPORT C] NOTICE BATHROOMS TOTAL SO. FT. GARAGE IJ ATTACHED Cl SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED Ll 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 Li SHORELINES SEASONAL C 1 FLOODPLAIN Firm E.D. NO. S.E.P.A. i l By Special Approvals IN OUT YES APPROVED NO Lic. No. Date 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 of the Mason County ordinance requirements for BUILDING DEPT. which this permit iplissued and that all work done will ROAD ACCESS be in c man therewith. MOTOR VEHICLE PERMIT Al LICATION ACCEPTED BY PLANS CHECK BY PROVED FOR ISSUANCE -7q Owner' Date. PLAN HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH BUILDING PEf!"M I T A PPL ICA T►� • MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATEISSUED PERMIT NO. OWNER NA E AI D ESS CITY d STATE ZIP P ONE DIRECTIONS �� L� �7 l� TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR. CONTRACTOR NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION XALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe ork: fic,210d&_ 41APAJ 4, tV-Rtkj — %ef Valuation of work: $ / Sw C PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: �v v BEDROOMS DECKS_ CARPORT ❑ NOTICE goy BATHROOMS TOTAL SO. FT.--- GARAGE ❑ �nP-yyk 0.- SEPARATE PERMITS ARE REQUIRED FOR P 18F►bG, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING. t�� TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ 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 FORK IS COMMENCED. the State of Washington and I am aware of the ordinance requirements regulating the work for which FOR OFFICE USE ONLY the permit is issued and all work done will be in conformance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO._ S.E.P.A. ❑ By Special Approvals I T YES APPROVED NO Lic. No. Date ZONING WV PLANNING DEPT. . ?_7_ OWNERS AFFIDAVIT HEALTH DEPT 71 PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL T contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. Q X. which this permit i ssued and that all work done will ROAD ACCESS bAcm4antherewith. MOTOR VEHICLE PERMIT Z _ APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner'_ Date . G ^ BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH