HomeMy WebLinkAboutReparis - COM Application - 6/9/1981 BUILDING PERMIT APPLICATION
/ f MASON COUNTY
v (� 0 .0. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
ef k�� e4 l`' PERMIT NO. •' /A_
X
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
DIRECTIONS'l rA4
TO JOB SITE c
LEGAL (❑ SEE ATTACHE SHEETf
DESCR. E d + S19
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
-'n —
USE OF
BUILDING
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Class of work: ❑ NEW ❑ A DITION ALTERATION >KREPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS — TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT794? 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 ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the O OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMAN T SHORELINES
SEASONAL _i FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By ' Special Approvals IN OUT YES APPROVED NO
Lic. No. �4/— �/ _Date ZONING
PLANNING DEPT. All
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. z!MVEHICLE PERMIT
A LIC ION EPTED BY PLANS CHECK�'413Y
APPROVED FOR ISSUANCE
Owner Date . / /
P 'N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY 'TITLE INSURANCE COMPANY
No. 47327
EXHIBIT A
IN MASON COUNTY, WASHINGTON
A tract in the Northeast corner of the Northwest quarter (NW4) of
the Southeast quarter (SE4) of Section twentynine (29) , Township
twentythree (23) North, Range one (1) West, W.M. , more particularly
described as follows : j
BEGINNING at the center post of said Section 29 ; thence East
along the centerline of said Section 29 , 1141 feet to the place of
beginning of this description; thence East 150 feet to the South-
west margin of the Navy Yard Highway; thence South along said West
margin of said Navy Yard Highway 155 . 62 feet -to the Northerly right-
. of-way line of North Shore County Road; thence South 77°25 ' West
along the Northerly margin of the North Shore Road 154 .92 feet;
thence North to the point of beginning, excepting therefrom road
rights-of-way.
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