HomeMy WebLinkAboutBLD4272 Final Cover for Swimming Pool - BLD Permit / Conditions - 2/15/1977 s
Catron, Stan #4272
2-2-77
G. L. 2 32-22-1
Cover for Swimming Pool c, u �,�'
$14,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED /-17'
PERMIT NO. �`°� 7o-
OWNER NAME MAIL DDRESS CITY&STATE ZIP PHONE
AA R e S a l a . Qo tit. F`S'1
DIRECTIONS
TO JOB SITE
LEGAL /^ / S ATTACHED SHEET)
DESCR. EE
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR-5r�CL /fQ�S C d� ct5 Q O i'I� y1f =/8
USE OF /\ \
BUILDING Co Y �To 2 S s.cs [ IVY ^ot t nc /0.- - r
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ /c�0 O6 PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
AP LIGATION ACCEPTED BYl PLANS CHECK BY APP OVED FO ANCE Type of Occupancy Division
BY Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. f �7,o Stories Occ. Load / 0
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 �'� C� ` PUBLIC WORKS
ROAD DEPT.
By
Lic. N . .43-`' i 1 ""k Date/CL-'O -I
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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
Owner Date. WORK IS COMMENCED.
PL N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION QEK: M.O. CASH