HomeMy WebLinkAboutBLD8484 Deck Roof Final - BLD Permit / Conditions - 7/26/1976 BUILDING PERMIT APPLICATION
MASON COUNTY ` ; ,
P. O. Box 400 Shelton, Washinqton 98584 /
DATE ISSUED�I�
PERMIT NO. 85,1y4-1
T- MAIL ADDRESS ZIP PHONE
OWNER'
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DIRECTIONS
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MAIL ADDRESS ZIP
LEGAL �SE[ATTACHEDeNEETI
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ADDRESS NONE
CONTRACTOR I
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: $NEW ❑ADDITION 0 ALTERATION ❑ REPAIR 0 MOVE ❑REMOVE
Describe work:
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Valuation of work:$ 60, % PLAN CHECK FEE PERMIT FEE �-
SPECIAL CONDITI NS:
APPLICATION ACCEPTED BY PLANS CHECKED By APPROVED FOR,ISSUANCE BY
Type of Occupancy
Const. Group Division
Size of Bldg. No.of Max.
(Total)Sq.Ft. Stories Occ.Load
CONTRACTOR AFFIDAVIT Special Approvals Required Resolved of squired
1 Certify that I am a currently registered contractor in the State
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of Washington and the County of Mason and I am aware of the 6ALTM DMPT.
ordinance requirements regulating the work for which the permit
Is Issued and all work done will be in conformance therewith. ROAD 15RIPFF,
Firm
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that i am exempt from the requirements of the contract
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued
and that all work done will be in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
: / THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
Owner I t v Date L`.L_+l T 7`S AUT14ORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
/PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
v/ SHELTON PRINTING CO.
r
Swanson, Lloyd #8484
• - 9-15-75
Sisson Beach, Lot 3, Block 1
Rotif over deckccfu!
$250.00
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