HomeMy WebLinkAboutBLD4205 Foundation, Garage, ReRoof and Fireplace - BLD Permit / Conditions - 2/26/1979 B A P PLICA VON
MASON COUNTY
P.O. Box 186 Shelton, Washington 9W4
DATE ISSUED .2-eZ G -79
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
S'.lG
DIRECTIONS `
TO JOB SITE �, tjx ST
LEGAL ( SEE ATTACHED SHEET)
DESCR. �-
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR 9, 1&l a ljfw'1!, n
USE OF
BUILDING P'r7t-A Itrti. V��Ik v 14/rr tiS t �C�iC ? iF�k
Class of work: A0 NEW ❑ ADDITION ❑ ALTERATION RE AIR ❑ MOVE EFREMOVE
Describe work:
tct Yr Za
Valuation of work: $ PLAN CHECK FEE PERMIT FEE �..p
/& SOd. ♦O
SPECIAL CONDITIONS:
APPLICATION ACCEPTED 8 PLANS CHECK BY A VED FOR 18SUAN Type of Occupancy Division
1 Const. Group
all
17 Size of Bldg. No. of Max.
(Total)Sq. Ft. Stories Ooc. Load
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
C 'n HEALTH DEPT.
Firm �f/ PUBLIC WORKS
By ROAD DEPT.
Lic. No.2EL'1V-AV8— At-1J A` Date
OWNERS AFFIDAVIT
I certify that I am exempt from the.requirements of the N O T I C E
contract or registration law ACW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
r 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
yy r _ Date, WORK IS COMMENCED.
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
U-Scharin, Mats #4205
2-26-79 €
Grape'viOw past Treasure Island Bridge, right on
Cronquist.
11 380' along N line of North 63' of S 126' of
G. L. 3 32-22-1
Install foundation, install garage, reroof, install
fireplace
ContreCtor
$18,500.00 Dick Wood
aa3a - 40 _vi 14v
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