Loading...
HomeMy WebLinkAboutBLD0649 ReRoof - BLD Application - 4/19/1988 j BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED J ` PERMIT NO. © fin q NAME ? ADDR S CI Y TATE l ZIP ,�M& OWNER �/'? DIRECTIONS s C l3 ( � sd!: f• %� /` �F /9'!.'ss : C r R p�CL TO JOB SITE I ' ' r o z r /' c� I j J jPARCEL le? NUMBER Z J ^�007 DESCRLEGAL. ° — dC.� NAME MAILADDRESS CI &STATE �rF"-s&N ZIP PHONE CONTRACTOR f�sd �� C`vu 5�. � c��:✓ GtJ� �O,/3 lS' �;;e52a USE OF /� r BUILDING 1 a WORK r CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE / t WORK-w - •, e- l G c-V-- K Z( d do /� 7` a[ �// I � Q � ��7/ G� fjtJ b s ` G vva tz � � �JYv` 2-X Z}� �G G dyv. oS�• ON Sv Y• ��. /GS O „%- BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERSAFFIDAVIT CONTRACTORS AFFI DAVIT %LSIC TL 2-2- 8 D d I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF;THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF RE ISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REI UIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OB AINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. WNER DATE X BY DATE / 5 FOR OFFICE USE ON DEPARTMENT APPROVED D APPROVED BUILDING DEPARTMENT BUI G VALUATION as C3 ell YES NO YES NO 5 i HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANKPCCK BY APPROV D F�1R SUANCE PERMIT VALIDATION G-t TOTAL BY /Z// CASH CK MO d