HomeMy WebLinkAboutBLD4040 Garage to Rec Room - BLD Permit / Conditions - 1/19/1979 Lund, Davku W. #4040
1-19-79
Route 10, Box 145, Shelton
E 1/2 E 1/2 SE 1/4 NE 1/4 18-20-4
Junction of Dayton Matlock Rd. and Little Egypt Rd.
Alteration (Garage to Rec room)
$3,240.00
.' BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED ��/9— 9
PERMIT NO. 05��
OWNER NAME/ / MAIL ADDRESS CITY&STATE / ZIP PHONE
X/ D o o W S �S�'S� � -w/o P�
DIRECTIONS
TO JOB SITE J o O
X �
LEGAL (❑ SEE ATTACHED S
DESCR.
NAME MAIL ADDRESS CITY 8 STATE LICE SE NO. PHONE
CONTRACTOR
USE OF
BUILDING e-e C
Class of work: ❑ NEW t ADDITION WALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: ZAI /
' /" e C141
Valuation of work: $ 3 , PLAN CHECK FEE PERMIT FEE,
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 Li SHORELINES I
SEASONAL [] FLOODPLAIN i
Firm
E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT APPROVED
YES NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
w this permit is issued and that all work done will ROAD ACCESS
b in conforman a therewith. MOTOR VEHICLE PERMIT
caner
_ _ AP LIGATION ACCEPTED BY PLANS CHECK BY PROVED FOR ISSUANCE
Al
'���—�ccc��� Date
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH