HomeMy WebLinkAboutBLD26966 Tank Removal - BLD Permit / Conditions - 11/13/1990 Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINALS ) 3 0
Mobile e:
Smoke Detector:_
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ooting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: cl
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TYPE TANK REMOVAL
Permit No. 26966 No. Floors Sq Ftg
Owner BELFAIR POST OFFICE Tel Date
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Address
Contractor ar ech USA Inc_- Lip
Address
Legal Description
Direction to project site
Plumb ing Mec anica Sewer Wo Stove
Fireplace Deck arage arport
Basement Loft Other
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PERMIT APPLICATION
BUILDING P �
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED //
PERMIT NO. 11
,, `6-
NAME LADDRESS CITY&STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE
�a3a� - 43 - 00a30
PARCEL LEGAL
NUMBER DESCR. ��,�
NAME MAIL ADQRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR OW 1USEOF
!`.� • C. - `` � 1�
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE '
WORK !2i2 i 4 n
�. *�
BEDROOMS DECKS CAR RT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ. FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.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 THAT I AM EXEMPT FR THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, A AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THI ERMIT 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 THEREWIT . NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM E BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT,
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
CASH CK MO TOTAL
If' a MARTECH USA, INC.
Environmental Services Division
W� M 8540 Younger Creek Drive,#2
Sacramento, CA 95828
MARTECH X:(91 )387-8
FAX:(916)387-1607
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