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HomeMy WebLinkAboutBLD9853 Cancelled Foundation - BLD Permit / Conditions - 1/9/1991 Shaw, Michael A. #9852 4-8-82 Beard's Cove Div. 4 Lot 88 30-23-1 Schooner Loop p Drive Foundation & Partial Basement Contractor Earl Lincoln $9,000.00 Shorelines: — ;Yt Setback: b , Special Conditions: Footing: Setback: b/� Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: 'Interior: Final: Stop Work: Mobile Home Remarks: _ NULL I VOID z Y -"TIRT i nsrrl-9-9/ QX I � _ BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED /p PERMIT NO. O �� OWNER ,NAME ^MAIL ADDRESS CITY 8 TE ZIP PHONE i2Ei//J2—L? DIRECTIONS TO JOB SITE -- LEGALJ.j , ( SEA CHED SHEET) DESCR. - — '? AM MAIL ADDRESS CITY 8 STATE LICE SE NO. PHONE CONTRACTOR USE OF BUILDING � ��. Class of work: NEW ❑ ADDITION 11 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMI E SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT NOTICE BATHROOMS TOTAL SQ. FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED i� 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 ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT LI SHORELINES ❑ SEASONAL FLOODPLAIN [I Firm E.D. NO. S.E.P.A. By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. V 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. G- which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT / J APPLICATION ACCEPTED BY PLANTCHECK BY APPROVED FOR ISSUANCE OW rI d�Date. // BY 'o� PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CASH