HomeMy WebLinkAboutBLD9375 FINAL PASS - BLD Permit / Conditions - 3/17/1981 3
Huntor, Neva C. #9375
1-28-81
.7 mi. past Casa De Canal - turn right up steep hill
1st house on left
Little Paris - E 1/2 Tr. 9 & T.L. & Tr. 10 - 13 & T.L.
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Wood Stove � f o fs C� Go%'
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Andy Tuson
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER E MAIL ADDRESS CITY&STATE ZIP PHONE
J
DIRECTIONS �. C�/.lCL � �
TO JOB SITE
LEGAL I (❑ SEE ATI615HED SHEET)
DESCR. .- y T. -E- I L /Y. D j 13
NAME MAIL ADDRFAS CITY 6 STATE LICENSE NO O
CONTRACTOR r►1''" i�++P
[USE OF !!//
BUILDING
Class of work: ❑ NEW ❑ ADDITION VT ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
"t,"A e2k, N
Valuation of work: $ PLAN CHECK FEE PERMIT FEE f �o
SPECIAL CONDITIONS: /
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES El
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By
Special Approvals IN OUT YES APPROVED NO
-Y�/���%Z�L✓ Date ( �T ZONING
Lic. No. `� PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOT R VEHICLE PE MIT
APPLI TION E BY PLANS CHECK BY Date
APP V=FOR CE
ner .
BY
CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. O. CASH