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HomeMy WebLinkAboutBLD16797 Final Sign - BLD Permit / Conditions - 9/23/1986' CHAR'S VIDEOLAND #16797 5-13-85 Tract 19 of NW-1/4, SE-1/4 29-23-1 NE 31 Hwy 300 Belfair Contractor City Sign Co. Sign 3' x 18' $4,000.00 Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mectanical: Roof: Exterior: Interior: Final: r k Stop Work: Mobile Home: Smoke Detector: Remarks: I PERMIT APPLICATION �,�y 4y 'BUILDING `C�fs MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 /DATE ISSUED PERMIT NO. le/� NAME / r MAIL ADDRESS CITY 8 ST TE ZIP PHONE OWNER / !/��� C'� I du/li �it/Q�• DIRECTIONS TO JOB SITE ✓ LEGAL — -- .,. / (❑ SEE ATTACHED SHEET) DESCRNAME MAIL ADDRESS CITY 6 STATE / LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: p2rNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE ^ Describe work: l G� t Valuation of work: $ PLAN CHECK FEE PERMIT FEE /Z, SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ NO. OF STORIES BASEMENT ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE [IDETACHED ❑ 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. e State of Washington and I am aware of the FOR OFFICE USE ONLY rdinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT [] SHORELINES f 1 SEASONAL ❑ FLOODPLAIN LI Fir E.D. NO. S.E.P.A. ❑ 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 is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPR FOR ISSUANC )wner Date . BY \N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 'STMASTOWN PRINTING