HomeMy WebLinkAboutBLD11155 Final ReRoof - BLD Permit / Conditions - 6/3/1983 BERUBE, George #11155
P. 0. Box 312, Belfair 08-05-81
Collins Lake #1
Replace roof framing
Contractor - Self
$3,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED-
PERMIT NO. z/_/
WNER ME MAIL ADDRESS CITY 8 STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE
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LEGAL "� / /
DESCR. cc
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF ,
BUILDING 01�77
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE
DOO o a
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT [; NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE ❑
ATTACHED � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE i 1 DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL O FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I c tify that I am exempt from the requirements of the FIRE MARSHAL
c ract or registration law RCW 18.27, and am aware BUILDING DEPT.
f the ason County ordinance requirements for S
which s permit is issued and that all work done will ROAD ACCESS
be in o ormance ther th. / MO R VEHICLE PERMIT
_ P LIWTIOI AC PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner ate. BY )
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. . CASH