HomeMy WebLinkAboutBLD236 Final Roof - BLD Permit / Conditions - 1/19/1981r
Vaughn, C. G. #236
8-23- 79
Sec . 29 Twn. 23 Rg �'Blk. 84 T. 3 of NWk NE'k
Qi�Serfair Hwy. , efore fire hall .
New roof Contractor
Kitsap roofing
�.. BUILDING PERMIT APPLICATION
MASON COUNTY J e ��� �Z aff 0
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED �7 3— 79
PERMIT NO. �o
OWNER /: JJAME 'a MAILRE,S� ESTATE / �Z,IP PHONE
DIRECTIONS l/t- �lrJ( K/ d(
TO JOB SITE P
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. .SCC• 7^ �W' a-9 /.iC� 41r3 /V• a/
N E_ AIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR / d
USE OF
BUILDING rn
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION 3<REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
o 00 3 a
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED [-] SEPARATE PERMITS ARE REOUIRED 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 AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT L1 SHORELINES ❑
SEASONAL [] FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. i 1
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 ' conf nce there MOTOR VEHICLE PERMIT
', APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Own Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH