HomeMy WebLinkAboutBLD7106 Mini Storage - BLD Application - 8/11/1980 B WI NNG PERM U A PPIACA TION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER NAME --rn��A L ADDRESS CITY 3 ST�+TE
ZIP PHONE
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DIRECTIONS I ` wor -�?7_3��
TO JOB SITE mile, /A E, c7 f ret(,i( r ��ti' �V�.' ,�� � 1 r %� �u�
LEGAL /' /� (o SEE ATTACHED SHEET)
DESCR. j►r�t6 f , 1)•` d F 5 a!` t qs A J. A te 3�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR f
r I
USE OF i ` / f
BUILDING /A/1 ,5 %Cf RA L
Class of work: O'NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
,/V`;• t 5 S te {' � P/cJ6, C tO-04AJ
-r to�-F' /= I'v IC e. tV
e 'f l Y
Valuation of work: $ PLAN CHECK FEE /� % PERMIT FEE Op
0 o d aGa•
SPECIAL CONDITIONS:
,z I'C E�
BEDROOMS DECKS CARPORT❑ N O'T I C E
BATHROOMS TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 ❑ SHORELINES ❑
SEASONAL❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
BY Special Approvals IN OUT YES
DNO
1
Lic. No.
Date ZONINGOf on 0
PLANNING DEPT. 7
OWNERS AFFIDAVIT HEALTH DEPT. p �
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL �/ 7
contract or registration law RCW 18.27, and am aware BUILDING DEPT. "v
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS pSE �irisnvS 3 A e .
be in conformance therewith. MOTOR VEHICLE PERMIT
.�� 9/� s'
/n� /� n� d . . Date. 'O`' APPLICATION ACCEPTED BY PLANS CHEC
_Owner ft��� y� -� ,
' LAN CHECK VALIDATION CK. M.O. CASH PERMIT V�(