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HomeMy WebLinkAboutBLD N/A Shed - BLD Application - 8/29/1991 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STAB� ZIP PHONE OWNER C 17W 51e d27.5-fa DIRECTIONS jy4v?v J c�7✓A $�G &"� a /�/rl TO JOB SITE &,.A./I) PARCEL LEGAL uJ. NUMBER 3G_ S �� DESCR. � a `bW CONTRACTOR NAME MAIL ADDRESS CITY 3 STATE LP PHONE LICENSE NO. 5 , USE OF f BUILDING CLASS OF NEW ADDITION ALTERATION I REPAIR MOVE REMOVE WORK r i DESCRIBE / L _ WORK / 0 4e/' d 1,ye S LJ /0 C S AREA: S-Y 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 $ Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED 0 DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 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 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 v�oZ �� X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES NoBUILDING VALUATION HEALTH fir( PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION As 1 e- SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY PUNS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION 1 TOTAL BY CASH CK MO NAME MA DDRESS CITY&STATE ZIP PHONL-1 OWNER r DIRECTIONS TO JOB SITE sail ' • , D� ' PARCEL LEGAL NUMBERJDESCR.IMMENOMEMEMEN OEM ■'��■�'!:�0��®i1■ �■!�■C�1.111.�■■■■�lif�ff'f�i�il'i�11■�■ ■E■■■■■1�EIfri3■■■■■■■■■■■■■■I�■■ MOM■■E■�M�iE ., �� � ��■■■tE 11■ MEEO■■ ■■■■■■M■■■■■■MEEE■ME■ MEMO NORMAN ■■■■■■■■■■■■■■■■■■■■■ .. . TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE i I j ( y ,'��.•.°� - . ,. ,8 yam, . � - a f / 0 Q © /� i F0U N DA-i l ON ANO FOOTING I ! I I i vertica I re be r DN 4'rnntcs _ ` J I i 16 0 -- I 6 s 8x�x� CoN� R�tE I ' i I �X sK,p SNFAtAvjcr J�. LAG ScrcwS ! j l i 1 � i 4 � 4 � J~Eo ts i fASTNrrS _ �Nglt clips xg lrc 4, II CQ� plate f T-y p Sc�+L � L