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HomeMy WebLinkAboutBLD18031 Final Alterations Window Replacement - BLD Permit / Conditions - 10/22/1985 TYPE ALTERATIONS i Permit No. 18031 No. Floors Sq Ftg Owner COMMONS, Roger Tel Date 10-4-85 Address Belfair Shopping Center Zip Contractor Lindberg Const Address P. O. Box 470 Port Orchard Zip Legal Description NW-1/4, SW-1/4 28-23-1 Direction to project site Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Remove 4x6 window, replace with 6` slider Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Interior.- Final: s Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 O DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE DIRECTIONS TO JOB SITE LEGAL Q (❑ SEE ATTACHED SHEET) DESCR. IV k/el .5 k/` � O a 3 — NAME MAIL ADDRESS CITY 8 STATE LIC PHONE CONTRACTOR i /V r7 �� /H )—;Q C�Q WS 7 '� , h7 d Q Ca7, iQC A GLI USE OF BUILDING �Z 6 U ` Class of work: ❑ NEW ❑ ADDITION ALTERAT N ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: / ba C"E d C4.1 A CT) c Valuation of work: $ PLAN CHECK FEE PERMIT F / SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO, OF STORIES BASEMENT LI OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE [I 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 certify that I am a currently registered contractor in WORK IS COMMENCED. pthe State of Washington and I am aware of the FOR OFFICE USE ONLY rdinan requirements regulatin the work for which he p it is issued and all k done will be in conf r ance therewith. PERMANEN SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ it E.D. NO. S.E.P.A. Ll By Special Approvals IN OUT YES APPROVED NO Lic. o. �/ �� 45il G I 6_1 Z/—' Date S ZONING PLANNING DEPT. Q + OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the IR ARSHAL 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 S be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner _ Date . PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH CHRISTMASTOWN PRINTING