HomeMy WebLinkAboutBLD9952 Final SFR - BLD Permit / Conditions - 8/16/1976 Onwer, Cecil #9952
� o 8-16-76
i
Residence
$10,600.00
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Ai
. B INDIM
• MASON COUNTY
P.O. Box 186 Shelton, Washington 99W .
DATE ISSUED
PERMIT NO.
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OWNER NAME MAIL ADORNS CITY a fATE ZIP PHONE
DIRECTIONS ,O�
TO JOB SITE
ALEGAL fo�• •P (0 SEE ATTACHED
DESCR. Qr -G
CONTRACTOR NAME MAIL ADDRESS CITY a STATE iKE NO. PHONE
t Lo e.r
USE OF
BUILDING G_
Class of work: NEW 0 ADDITION 0 ALTERATION 0.REPAIR 0 MOVE 0 REMOVE
Describe t work:
i i 1 Q rV` ga: 'S' X r .�
Valuation of work: _ `O 6 o PLAN CHECK FEES PERMIT FEE
(5-6 t,
SPECIAL CONDITI
ACCEF ifD• PLANS CHEOIt BY FOR
SY C1/ (ir J OlvNlon
luvv-
CONTRACTOR AFFIDAVIT tram f t. 76/ atom. 2 000.
P�IAMNE!!T' SEASONAL E.D.NUMBER
I certify that 1 am a currently registered contractor in
the State of Washington and I ant aware. of the Mae"HOME
requirements regulating the work for which
the permit is issued and all work done will be in 6116" Rpulhd ReoMwd W Required
conformance therewith. ZONING
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
1 certify that 1 am exempt from the requirments of the N O T I C E
contract or nQiatratfon law RCW FOR ELECTRICAL. PLUMBING. HE
ATE P A
re and°am aware of � ASQUIRED 04,
of the Mason. County ordinancea requlrwhente /Or S ��
which this permit is issued and that all work done'will
be in conformance therewith. THIS RNULL AND VOID IF WOIM(OR OON87At1Cf10N AUTHORIZED
t&"Vs. OR IF owir UCTm OR wow Is
WTa Dots. 1A `' tsd11 A FERI00 OF 13D DAYS AT ANY TIME AFTER
PL HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH