HomeMy WebLinkAboutBLD5674 Addition - BLD Inspections - 8/2/1977 -Barnett, Lynn R. #5674
8-2-77
G. L. 2 32-22-1
Grapeview Rd toward Allyn-turn on Crenquiat Rd. ,
continue 3/4 mile.
:(mac:,TIy c-. S .
Addition
Plumbing Permit issued
$87,500.00 - Mechanical Permit issued
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' j BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 /
DATE ISSUED / Z�77
PERMIT NO. sez / T
OWNER NAME MAIL ADDRESS CITY&to rrt S ZIP PHONE
ft A to q oL S?i,Z
DIRECTIONS n/J_A
TO JOB SITEMZ& 11 0 -- �()1/rl D� v4 &j
LEGAL (❑ SE ATTACHED SHEET)
DESCR. SAC Q�aaLAs ,
NAME MAIL ADDRESS CITY&SSTATE'(^ A LICENSE NO. PHONE
CONTRACTOR I Dr ,Q_ J 1 /1„ ,� 6 4t3 C ON C+�kLu, 6; .hvt�'1i Lo- QDI � _C �i.S 7
USE OF .-/� .
BUILDING K
Class of work: ANEW VADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
fie. l�
(2p (A"e- I,-e_ � t
Valuation of work: $ 5 PLAN CHECK FEE j�j _C? PERMIT FEE 19 4.Z�
211 � _ Fx
SPECIAL CONDITIONS:
AP (CATION ACCEPTED BY PLANS CHECK BY APP ED FOR ISPAl1ANCE Type of Occupancy Division
BY 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
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
ROAD DEPT.
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I mpt from the requirements of the N O T I C E
cOntract registration aw 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of th on ou ordina ce requirements for VENTILATING OR AIR CONDITIONING.
whic is permi ' ' ued and hat all work done will
be ' co a therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
,7_7 SUSPENDED OR ABANDONED FOR A iPERIOD OF 120 DAYS AT ANY TIME AFTER
Own Date. WORK IS COMMENCED.
P AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH