HomeMy WebLinkAboutBLD9546 - BLD Permit / Conditions - 7/8/1976 r
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Hunter, Neva Cain
#9546
Ez Tract 9, Plat of 6-15-76
Little Paris
Deck - 340 sq. ft.
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$1,360.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED ��` -�
PERMIT NO.
—r
OWNER NAME MAIL ADDRESS
' CITY STATE ZIP PHONE `
to
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DIRECTIONS
TO JOB SITE
LEGAL ,p —�AA_ Q (❑ SEE ATTACHED SHEET)
DESCR. � /a 9 /O — I .3 , / .�%� .� �—C�J / Cfh c.J[J
C NAM MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
ONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE -❑ REMOVE
Describe work,
el
Valuation of work: $ {/ �, PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APP (CATION ACCEPTEQ BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY ,LQ�,c�.c.�(,� � Const. Group
Size of Bldg. No. of Max.
(Total)Sq. Ft. Stories Occ. 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
cnnformance therewith. ZONING
HEALTH DEPT.
PUBLIC WORKS
ROAD DEPT.
Fly-----
Lic. Nf,. _- Date
OWNERS AFFIDAVIT
I certifv 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 Count ordinance re ulrements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Y q VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in Conformance therewit 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.
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L Afy 'HECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. VY