HomeMy WebLinkAboutBLD0463 Shed - BLD Application - 4/7/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED 4 `
PERMIT NO. M63
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MAILADDRESS CITY&STATE ZIP PHONE
OWNER CR
DIRECTIONS I
TO JOB SITE ro
PARCEL LEGAL
NUMBER (� DESCR.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK / Y, b, 1
Ile
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS C^Ft BATHROOMS SEASONAL RES.O COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
W ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt / ATTACHED O DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. (� APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE 7Z--' X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVE NO DEPARTMENT YESPPROVENQ BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT 5
D.O.T. BUILDING PLAN CHECK ! "�
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
t SHORELINE
h �5 WOODSTOVE
rl 0 = PLUMBING
�( MECHANICAL
STATE BUILDING FEE �50
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR 16,$UANCE PERMIT VALIDATION
TOTAL �
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
April 13, 1992
Mark Abad
P.O. Box 5143
Belfair, WA 98528
Mr. Abad,
On April 7, 1992 the Mason County Building Department issued a Building Permit
(#0463) to you for the construction of a storage unit. A copy of the receipt is
attached.
The fee for the permit was Fifty-Three Dollars and Twenty-Five Cents ($53.25). The
check received for payment was in the amount of Seventy-Five Dollars ($75.00).
Please issue a check for the correct amount of Fifty-Three Dollars and Twenty-Five
Cents ($53.25), made payable to MASON COUNTY TREASURER. Your original
check of seventy-Five Dollars ($75.00) will be returned to you upon receipt of the
check in the correct amount.
Thank you for your cooperation. I hope this is not an inconvenience.
Sincerely,
(original signed by)
Phyllis Brookshire
MASON COUNTY
DEPARTMENT of HEALTH SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 1666 Shelton,Washington 98584
(206)427-9670 9 Belfair:275-4467
Seattle:464-6968 • Other: 1-800-562-5628
environmental health personal health water quality
DATE: 24 DECEMBER 1992
TO: MR. MARK L. ABAD
P.O. BOX 5143
BEAR CREEK SUBSTATION
BELFAIR, WASHINGTON 98523
(206) 275-3159
FROM: GUY GRAYSON
ENVIRONMENTAL HEALTH SPECIALIST
SUBJECT: BUILDING PERMIT
PARCEL ##: 12330-51-00092
BEARDS COVE DIV. 4, LOT 92
BEFORE THIS DEPARTMENT CAN APPROVE OUR PORTION OF THE
PERMITTING PROCESS YOU MUST ADDRESS THE FOLLOWING ISSUE:
1) THE BUILDING PERMIT SITE PLAN INDICATES THE SEPTIC SYSTEM
DRAINFIELD AS BEING PLACED IN AN AREA OTHER THAN WHERE THE
TEST HOLES WERE DUG, AND WHERE THE SYSTEM WAS DESIGNED FOR.
EITHER THE DRAINFIELD MUST BE LOCATED IN THE APPROVED
DESIGN AREA, OR YOU MUST HAVE NEW TEST HOLES DUG AND
INSPECTED IN THE NEW PROPOSED AREA.
IF YOU HAVE ANY QUESTIONS REGARDING THIS FINDING OR WHAT NEEDS
TO BE DONE, PLEASE FEEL FREE TO CONTACT ME AT (206) 427-9670 .
EXT.# 353 .
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