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HomeMy WebLinkAboutCOM2006-00027 Cancelled Ste E Change in Tenant - COM Application - 9/28/2007 A Mason County Dept. of Community Development Mason County Bldg. 3 (360) 427-9670 Local 426 W. Cedar (360) 275-4467 Belfair P.O. Box 186 (360) 482-5269 Elma Shelton, WA 98584 Notification of Permit Cancellation September 28, 2007 ADVANTAGE WIRELESS OF BELFAIR 170 NE TIGER WAY WEST BELFAIR WA 98528 Case No.: COM2006-00027 Parcel No.: 123283290030 Proiect Description: Suite F - CHANGE IN TENANT AND TENANT IMPROVEMENTS Dear Applicant: I Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit application has been inactive since 09/05/2006. Permits must make some progress every six months. If you intend to keep this permit active, you need to contact me within ten (10) working days from the date of this letter. If we do not hear from you within the that time, your permit will be cancelled and a building inspector will make a site visit. In the event that your project has been completed and a permit was never issued, you will be assessed penalties as allowed under Mason County Title 14 and Mason County Title 15. If your project has been cancelled or if you wish to withdraw the permit, please notify me as soon as possible at (360) 427-9670, ext. 616. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Charell Holcomb September 28, 2007 COM2006-00027 MASON COUNTY PERMIT NO. - BUILDING PERMIT APPLICATION UC U 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner jG W •iq-i yr --^I Company Name Mailing Address i - Ttc a - Mailing Address Cityt-ze-t-;;^r., - Stateca Q` Zip Code I ONE City State Zip Code Phone - �,. - Other Ph. ZTS'- ;I V& of Phone Other Ph. Lien/Title Holder i zcg, 1-{ nt-ze ye.v Contractor Reg. # Exp. E mail address pN& A E Mail Address Drivers Lic. # - DOB -1 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer Syste PARCEL INFORMATION - 12 Digit Parcel No. I ire District Legal Description tzk-cs- i 4 Site Address (Please include street name, street number and city)2 q a 3q'?_ 'f Directions to site Q9 E L Ise T)tr w nt i`r S I-- "- �. Will timber be cut and sold in parcel preparation?Yes 00 ' Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building`y V ts t L__ Describe Work LAW) etc, 6,L L C.Ut i t"j No. of Bedrooms No. of Bathrooms i Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 4"1 EN Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from the necessary parties. If permission is required from any easement holder or any other party in interest regarding this 11��tt�ii' proposed in the application, I have obtained permission from them to apply for this permit and conduct the work propoRl�t�a agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null &void if work or authoriz�q nor t not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION MUSIR MEANS OFAP,RO��GRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180/DAYS WILL INVALIDATE Ta4gP N T88'U N X a.�fL-T `, Date: 3 l�T r'i MA V 1�1 l.v Owner ,wners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department O�P Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee qv5 0 EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal >7l Valuation $ /4x .6f/act 12'17/n *aa- ODO TOTAL FEES