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Home My WebLink AboutSFR - BLD Application - 7/16/1987 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593/47--1-9 61 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE PAUJ IIZS MAK IY1W VALA 111-M II TO AID U.E. 6Q. Wa, 1669- 362 ZZ FD TD LI112(oE rn A PLE TREE ON QWTWSICF LEGAL DESCR. 3- 9 pF v "6 NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK LQ�S BEDROOMS DECKS Lo CARPORT — NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 7 TOTAL SQ.FT. - GARAGE .3 CONDITIONING. NO.OF STORIES -L- 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.2M FIREPLACE_L DETACHED r ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 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. TE � �' X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPRovE NO DEPARTMENT YESPPROVEN° BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT C, d d D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP �� PRE.INSPECTION SHORELINE b It &Qf S PLANNING PLUMBING 9 O C MECHANICAL 2 c d STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY SC A ISS E PERMIT VALIDATION ' B CASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER MIZf_MeS.MAQL N1[Z.kV I LICA 11-BA fl S 7) Z_ ZZ DIRECTIONS TO JOB SITE RM\ AL-ATE ! T,TCX _ LSO Pt" AD -MVV RZQ T, WAT TQW VALlAT� AT \N N 1 TE "a)XE . M-LDW QGRD TO LA 1ztF- M-APLE TCEE Old _4ADO i S lfJE. LEGAL 23 -24--z' TQALT 9 by L-DV_ LDT A DESCR. CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP JFEENO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00 A BASINS G G7 FLOOR/SUSPENDED FURNACE 6.00 41 BATH TUBS BOILER/COMPRESSOR 6.00 I SHOWERS O REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 1 AUTO.WASHER O AIR HANDLING UNITS 7.50 1 SINKS � HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT G c c1 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 1 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL �j, < <' TOTAL - c 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 WITH I T O TAINI G APPR VAL FR THE BUILDING DEPARTMENT. WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DATE "� X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex 2 N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 (206) 426-5593 building environmental health maintenance parks&recreation planning sewer&water March 17, 1988 Marc Mrkvkka Re: Residence Permit _ 11734 17th Avenue NE Seattle, flash. 98155 Dear Mr. Mrkvkka: Some time ago you made application through this office to obtain a building permit. Please be advised the permit is ready to be issued and can be called for at this time. If you are unable to call in person, a check in the amount of $ 703.50 can be sent to us and we will return your permit by mail. This permit becomes null- and void if not called for within 180 days of the date of application. We hope to hear from you soon. Sincerely, Evelyn Fuller _ Receptionist