HomeMy WebLinkAboutBLD9362 Garage Final - BLD Permit / Conditions - 7/26/1976 BUILDING PERMIT APPLICATION
MASON COUNTY A^
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
6E / PERMIT NO.
NAME MAIL ADDRESS [ CITY 3 STATE ZIP PHONE
OWNER L D Vb S'WANTjAJ 6-e I 6if 'IA- -eZ 3
DIRECTIONS
TO JOB SITE r�//vl lam. sauf�i p-f G is Y. t� i G)"Q/C ! 30.�.
LEGAL t ❑SEE ATTACHED SHEET)
DESCR. L a.,#j T c��sdj,�� 1 a N, o T J, �S,,rd a'V �s'
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF + `
BUILDING G�/to. 9 1— j S�'vlL.c -v Gi Yt� G✓fn�G d'r vP
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE D REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE �2
SPECIAL CONDITIONS:
APPL1� CCEP`r9D BYl PLANS CHECK BY APPR VED FOR ISSUANCE Type of Occupancy Dlvialon
Const. Group
Size of Bldg. No. of Max.
(Total)Sq. Ft. Stories Dec. 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 am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in Conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owne -�j �'t'��bate. 161 WORK IS COMMENCED.
Ir
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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Swanson, Lloyd #9 362
5-19-76
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Sisson Beach, Block 1, Lot 3, 28-22-3
Garage, Storage, Workshop
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$2,860.00
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