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Home My WebLink AboutBLD23988 SFR - BLD Application - 6/30/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED - �Jfdf�7 PERMIT NO. 00 NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER -T-b Nbca a rl Bjug Liutau l /' LU/� DIRECTIONS q 30 it TO JOB SITE Q `i at, l PARCEL LEGAL .SZ� n vil Il , uii,4fh .ark;,f 1 tkvj 4 JOsci '7rwc1c N U M B E ,Q,3 / '7 ODD 16 DESCR. 7 1, 4M/ ifaa NAME MAILADDRESS U IT &STATE LICENSE Z PHONE CONTRACTOR D - 7 , L C3_W qL 3 -SS// USE OF BUILDING d t CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK BEDROOMS DECKS CARPORT IU119 NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS,5 TOTAL SQ.FT.33__(0_ GARAGE — CONDITIONING. NO.OF STORIES :� 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. FIREPLACE' DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINIWAPPROVAL M THE BUILDING DEPA TM€NT. APPROVAL FROM THE BUILDING DEPARTMENT. z"21 C✓ XQ N 7 X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO 7�y/• HEALTH 4)A AYZ fp. PUBLIC WORKS FEE PLANNING FIRE -hpBUILDING PERMIT D.O.T. BUILDING 4- PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE ,D� PLUMBING 2 3 sy.--MECHANICAL 3 6 x s�� L ed O, TATE BUILDING FEE TATE SURCHARGE , PLICATION ACCEPTED BY PLATS CHECK BY APPROVED FOR ISSUANCE PERMIT IDATI N BY _ TOTAL CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER MAIL ADDRESS CITY&STATE ZIP PHONE �106a261 &kzp� Low D c,,Id,i 7 DIRECTIONS TO JOB SITE 1 ) W, , d J,.r1 LEGAL - SPC t+OA/ if, 7W)iU/l,'p .23 N ; wtoa ng 2 '2, &VtOf f DESCR. 1 q7 UOL k )q-d q CONTRACTOR • NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE 13vx -7 1& rL 8 El�ar USE OF 3 23 tz BUILDING j C PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 3 WATER CLOSETS ,�'r' FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 2 BATHTUBS BOILER/COMPRESSOR 6.00 2 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 / AUTO.WASHER 2, AIR HANDLING UNITS 7.50 ' SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 I� DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL , SPECIAL 1////� 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 WRIEPT 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 N CONFOR ANCE THEREWITH. [J0 CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIR IN�lABPR AL FRO BUILD^71(/'G DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNE //J, ANTE l�-/3 Q XBY DATE_ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS HECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION �. � �� BY CASH CK MO