HomeMy WebLinkAboutBLD19169 Horse Stalls - BLD Application - 2/19/1984 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED ( /
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER R Bit C S/S o lecog- A ce S7991
DIRECTIONS 6?71- 5/z0
TO JOB SITE / 7 —,?ZG70
LEGAL }p� //�� _ //LL S
DESCR. � h /?ACTS 'D1 J f�O�Q. L. !Z ,vi /v e w .SE / Z -•2.3—Z
AME MAIL ADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE
CONTRALTO Aw�a.v lei Tc. 397Z4 Z97rN Al S. weela, u/W- fl�zL z /s65
USE OF
BUILDING D ,e — ,Q� A /Li/YIOBy �i�i4•
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK e_ /'/CCoSe RNd .Z-^/5rX4C hldd-5e S77aZ45 , GAO LTD[. Ld /Vo
7` A) �»
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSO.FT. 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 SO.FT.6OW FIREPLACE DETACHED ABANDONED FORA PERIODOF180 DAYS ATANYTIMEAFTERWORKISCOMMENCED.
PERMANENT S SHORELINE
SEASONAL- I t
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
1 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 1 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. r
X OWNER DATE X BY DATE 1-7 /—e/3 8 7
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 A PRE-INSPECTION
7, /'�<<�_ SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION _
TOTAL ` 1
BY - CASH CK MO `