HomeMy WebLinkAboutBLD10736 Final Addition - BLD Inspections - 8/5/1981 IHAZ, Jim #10736
St. At. 1, Box 268, Allyn 06-09-81
Green Rambler on l6ft facing water
Lot 8, Block 106, Detroit Townsite #2
Addition
$8,400.00
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BUILDING, PERMIT APPLICATION
,► MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED—
PERMIT PERMIT NO. G Q 7 3
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑SEE ATTACHED SHEET)
DESCR. LOT' z e T w�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR — 0�—' 5* r Alr $ o-. &4 ��wx L
USE OF
BUILDING Aw& 4��
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ / [O� PLAN CHECK FEE PERMIT FEE
`7 i v
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR 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
conformance therewith. PERMANEN SHORELINE
SEASONAL❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date G��1— ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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.
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
' �J APPLIC TION ACC ED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. 9/77
''
P AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION _!!. .O. CASH