HomeMy WebLinkAboutBLD4781 Sign - BLD Permit / Conditions - 5/25/1979 1
Alderbrook Inn #4781
5-25-79
Sunny Beach Lot 10
Sign Contractor
City Sign
$3,200.00
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _
DATE ISSUED
PERMIT NO.
OWNER A E MAIL ADDRESS l/1�" CITY 6 STATE21P PHONE
�' C N
DIRECTION
TO JOB SITE —
LEGAL (❑ SEE ATTACHED S EET)
DESCR. O �
CONTRACTOR NAM I ADDRESS CITY&STATE LICENSE NO. PHONE
Q Z So
USE OF
BUILDING
Class of work: ,ell[EW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe wor yR� •
ao
Valuation of ork: $ ej C2 PLAN CHECK FEE PERMIT FEE��,Dd
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT Ll NOTICE
BATHROOMS TOTAL SO. FT. GARAGE I_]
ATTACHED a SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT 13 OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE f 7 DETACHED IJ
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
conf rmance therewith. PERMANENT [ SHORELINES 1 I
SEASONAL ❑ FLOODPLAIN 1
Firm
E.D. NO. S.E.P.A. I;
tom`---- Special A APPROVED
By ,[ 7 p Approvals IN OUT YES NO
Lic. No.?.23-O Z ^CZ t S 3 3 y0�ate r S- / 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Own Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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