HomeMy WebLinkAboutBLD9296 Footing and Bank Repair - BLD Permit / Conditions - 5/10/1976 St. Andrew's House #9296
5-10-76
G.L. 1 & T.L., W2, W2, E2, 33-22-3 Contractor:
Lincoln Constr.
Repair footing and bank damage, build concrete
wall
$685.00
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BUDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 188 Shelton, Washington : a84
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY A STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE I j R ,fVS" j,
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LEGAL // 7' (❑/SEE ATTACHED SHEET)
DESCR. T e. L '� / Ld / 1 i [�7
N E AIL RE CITY d STATE LICENSE NO. PHONE
ji,CONTRACTOR
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USE OF — �•tJ ����., [,C— �2�O ,
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE oa
I
SPECIAL CONDITIONS: -- .em P4 � •�/O
APPLJCATION ACCEPTED BYI PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor In RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be In Special Approvals Required Received Not Required
Aly
ce there ith.� ZONING
HEALTH DEPT.
(✓ PUBLIC WORKS
ROAD DEPT.
4GjXZ= !Date�]
OWNERS AFFIDAVIT
I certify that 1 am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is Issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owner Date WORK IS COMMENCED.
-- --_ - ASH
PLA CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. C