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HomeMy WebLinkAboutBLD0171 Enlarge Unloading Dock - BLD Permit / Conditions - 6/5/1984 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 S / DATE ISSUED � �l bunjww,or- PERMIT NO. OfT , OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP _ d� PHONE O� U,4pG_Kwsun, =I'1c, o l DIRECTIONS TO JOB SITE ear--4rz_ Be-A-.Kb bu-c—A-IjZ LEGAL (❑ SEE ATTACHED SHEET) DESCR. NAME MAIL ADDRESS CITY d STATE LICENSE NO. PHONE CONTRACTOR .54 M�: p� W USE OF BUILDING GeAcr-_" � Class of work: ❑ NEW KADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 5= i5 M C n d Valuation of work: $ PLAN CHECK FEE PERMIT FEE S- D SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT [] NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ 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. the State of Washington and I the aware of the FOR OFFICE USE ONLY or Hance requirements regulating the work for which th permit is issued and all work done will be in c nformance therewith. PERMANENT SHORELINES I SEASONAL I FLOODPLAIN 1 Firm E.D. NO. S.E.P.A. [ By Special Approvals IN OUT YES APPROVED NO Lic. Date ZONING PLANNING DEPT. ZC 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 BUILDING DEPT. y of the Mason County ordinance requirements for which t ' permit is issued and that all work done will ROAD ACCESS be i con orma a therew th. MOTOR VEHICLE PERMIT W APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FO ISSUANCE Owner Date. 0�15 By n� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH - ., r T 4 f---- ? FILL•?w EX IST)MG GEN CoNTR / DOORCd { - T— i i ELEGZ I C.:o• +' N &'7- ISLE MACH_ in CtAeMN WILL 7 AQPN.-Z~ Woa 18,9M/7 f.LOV/P Cve.R AGARS Oha y Q fn -m � j � 1 i ; � I i ' t '• + IL t �I _ 1 ► ; � � r � 4 � � 1 � �; t I, < ! 1 4 , v VIC Ae i It -- - - -- a_- - ---- - 04, CD c [o �t L } • � N:Z - $ �K � OUL C�;�-t� --- � 0 2 To C El(.I nt U H U (� -� l � � � I 7- i boAl r u �O / •E-- is C' W tA-l 1. W t4 U,— > i t ,O f-l 'T' c 1 � T5 G cis (k�SEb LW FOCI x1 77/ �zo �� T coF .rt EacTF Si RZN VLM SYSC1:vh FC�c�E2�R e Cps NE7F— CYc�rYb L�.Gtt�Ls . � � SF4-UTOFF GqC CESczNCs- R� �t ►trot+ eoc wru ST-SL Lrb Fbe P<C=S S 7-7,777,777 PRobUCE CCC (Z PQOWCE A- i ..�R E. I