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Home My WebLink AboutBLD21627 Motel - BLD Application - 1/12/1988 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED2 —D i// KJ /Q' v PERMIT NO.lz�/!�2 S�?2�Z OWNER NA IV MAILADDRESS" CITY& TATg ZIP PHONE DIRECTIONS TO JOB SITE i PARCEL LEGAL r' t�Qra�fn �/: //•�� CX. Al A0 Z NUMBER DESCR. IL NA E MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHO E CONTRACTOR 6 11. l S .� J 2i��n �'r , t_ z USE OF BUILDING are L CLASS OF NEW WORK ✓ ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE �-y� y�/� WORK CO/YJ ! KUCr /� /Q7-r::�- —T BEDROOMS DECKS CARPORT NOTICE BATHROOMS TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. NO.OF STORIES .2--- BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT TOTAL SQ.FT.S? FIREPLACE COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIF 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 REQUIRE ENTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OW R DATE rr X BY /2DATE � 2-�6� FOR OFFICE USE ONLY APPROVED DEPARTMENT DEPARTMENT APPROVED YES No YES NO BUILDING VALUATION HEALTH 1 PUBLIC WORKS FEE i PLANNING �i�� FIRE BUILDING PERMIT > L` GS D.O.T. BUILDING PLAN CHECK "`� SPECIAL CONDITIONS BUILDING GROUP V PRE-INSPECTION - �2 SHORELINE WOODSTOVE JS �� .'a� 7 j til ? lL Ci�C 1. PLUMBING c l MECHANICAL STATE BUILDING FEE STATE SURCHARGE J 'ATION ACCEPTED BY PLANS CPH CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION !'/ <,�� BY CASH CK MO TOTAL �� i PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE PHONE OWNER �I6tA1AeT) � .r 1z f — . "If1'� Te%OL ZIPwh 7no L� DIRECTIONS _I TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES kNO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE �.-JlJ WATER CLOSETS C r c FORCED-AIR/GRAVITY TYPE FURNACE 6.00 30 BASINS C. e, FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS rQ c r BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 i SINKS , HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRYTRAYS c^ (' WOODSTOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL `,, TOTAL i cc. ec SPECIAL CONDITIONS:. _.__ NOTICE: 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHO RST BTAIN O ROV FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY C DATE I—1Z FOR OFFICE USE ONLY PPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION PLICATION ACCEPTED BY PLANS CHECK BY 7 IBY CASH CK MO