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HomeMy WebLinkAboutBLD0369 Final Underground Piping - BLD Permit / Conditions - 7/7/1986 TYPE UNDERGROUND PIPING Permit No. 0369 No. Floors Sq Ftg Owner BEYNON, nave Tel 275-4787 Date 11-12-85 Address P. O. Box 566 Belfair Zip Contractor Exxon Co. Address Zip Legal Description W 150' , NE-1/4, SE-1/4 29-23-1 Direction to project site Sandy's Deli Mart Inc. Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Shorelines: ^/,q. Serback: �sL Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: C,/,S" / 3 s 4 Mechanical: Interior: Final: r A/ 5 G LC- Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION i MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED ZJ/ 'r PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE u r ©N " DIRECTIONS TO JOB SITE S/4't)p y 1 5 DF LEGAL] ,,, ' SEE ATTACHED SHEET) DESCR NAME MAIL ADDRESS CITY✓£STATE LICENSE NO. PHONE CONTRACTOR �o XX40 C, USE OF BUILDING Z !'J�f/' /'OG!/J�!' ✓ / /sue Q �/'fJ/ C �T`GC.T/U /� Class of work: ❑ KEW ❑ ADDITION XALTERATI ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: - .+� F_ S S /'l el-4 r_ 'AAA � •� Tic�.t:� , �rye L U G Al Valuation of work: $r o PLAN CHECK FEE PERMIT FEES, rcO Oro, ,q3, SPECIAL CONDITIONS: cht BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VEN NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTH CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFT I certify th I am a currently registered contractor in WORK IS COMMENCED. the State f Washington and I the aware of the FOR OFFICE USE ONLY ordinance quirements regulating the work for which the permi is issued and all work done will be in conforma ce therewith. PERMANENT I j SHORELINES ❑ SEASONAL [] FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO NJ 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 he Mason t ordinance requirements for BUILDING DEPT. which rmit is iss ed and that all work done will ROAD ACCESS be in o formance th ewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS HECK BY APPROVED FOR ISSUANCE Owner - Date . — " � BY PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CAS ^•HRISTMASTOWN PRINTING