HomeMy WebLinkAboutBLD2367 Final Carport and Garage - BLD Permit / Conditions - 12/27/1979 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO. a ip
OWNER /�AME MAIL ADDR SS CITY&STATE
ZIP PHONE
DIRECTIONS r W
TO JOB SITE
LEGAL `r p (❑ SEE ATTACHED SHEET)
CONTRACTOR NAME MAIL ADDRES ! CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING Ct
Class of work: NEW ADDITION ❑ ALTERATION ❑ REPALIT ❑ MOVE ❑ REMOVE
Describe work:
o'er
Valuation of work: $ O PLAN CHECK FEE 1 Z PERMIT FEE o
SPECIAL CONDITIONS:
2
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED F0fl ISSUANCE Type of Occupancy Division
B Const. Group
t
Size of Bldg. No. of Max
CONTRACTOR AFFIDAVIT (Total) Sq. Ft. �+ U Stories / Occ. Load
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
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
which this permit is issued and that all work done will VENTILATING OR AIR CONDITIONING.
be in,ponformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
OW r / /�7 ��i1�id�C SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
r� a e. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH
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Bennett, George U. #2367
6-13-78
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Carport and Garage Addition
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$2,310.00
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