HomeMy WebLinkAboutBLD3123 Final Sign - BLD Inspections - 11/30/1979 Spot Realty, Inc. #3123
9-27-78
Portion NW 1/4 SW 1/4 28-23-1
Belfair Center
Contractor
Sign City Sign
$3,500.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 9lA?17 JV
DATE ISSUED
PERMIT NO.
OWNER N E MAILADDRES CITY TA , ZIP PHONE
DIRECTION
TO JOB SITE
LEGAL SEE ATTACHED SHEET)
DESCR. r to /At 9GU f/ .2 3 1
N ME IL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR ('• 7 p
USE OF J"rf f-'�?JfePyl
BUILDING
Class of work: AVNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: OF , ..
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Valuation of w $ J, PLAN CHECK FEE PERMIIVEE
SPECIAL CONDITIO S: ��
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [I ATTACHED 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
c nformance therewith. ^ PERMANENT ElSHORELINES ❑
i J SEASONAL ❑ FLOODPLAIN ❑
Firm + E.D. NO. S.E.P.A. ❑
By if _ - Special Approvals IN OUT YES APPROVED NO
Lic. No��zy—yt-gkt ,4�r t!�S ` 3`-kjd 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. ON
of the Mason County ordinance requirements for
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 IS UANCE
Owner Date.
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PLAN CHECK VALIDATION CK. M.O. CASH V PERMIT VALIDATION CK. M.O. CASH