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HomeMy WebLinkAboutBLD4427 SFR - BLD Permit / Conditions - 3/9/1977 COO I C� a Yohn, Richard #4427 3-9-77 E 1/2 W1/2 NW 1/4 NW1/4 31-20-3 Across from Salvage Yard on Lost Lake Road Residence Plumbing Permit issued. $33,040 inn C �, i Vr � Ivfl \ BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED 11/q //7 7 PERMIT NO 117 NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER !C ;e/y/IA® �tz Ift 3ovI -1 w;� y/>Y Z�/ DIRECTIONS TO JOB SITE , b5A. :# i/!A'�u.ty ©x <" /U ,•�:f- T LEGAL ,/ (❑ SEE ATTACHED SHEET) DESCR. 4 11/�C_H L - e�U r v- CONTRACTOR NA MAIL ADDRESS CITY&STATE LICENSE NO. PHONE . /4 USE OF BUILDING �� Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE 33 0510 ZS-` ' /3 9 SPECIAL CONDITIONS: APPYCATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division 7/ S- B Const. Group Size of Bldg. c16 40& No. of Max. (Total) Sq. Ft. Stories y Occ. Load /!J 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 By ROAD DEPT. 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 hat all work done will be IflfOrmanCe t e ith THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED •J 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 Owner �G Date, WORK IS COMMENCED. AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH