HomeMy WebLinkAboutBLD7754 Shop and Storage - BLD Permit / Conditions - 11/3/1978 Smith, Wayne B,
#7754
11-3{78
Lake Limerick Division 4, Lots 141, 142
Shop and Storage
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• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 //
DATE ISSUED
PERMIT NO. 2
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER 979/4fo rlLrl--S'�JJ
lc1d.Y»N_ .l3 S�»►l{ h IDOL a/ Slc) �S I11 Na�l� Le�oL.
TO JOB SLATE �u2» 2i lrt lGYI L7dR m®Olr I t or Y: 7ni dt Lake LiV7& k di -9
(❑ SEE ATTACHED SHEET)
LEGAL]
L4 ®>~5 / #1 �-/42- 01 r. A. [_ dke- L i m r'rt l�
NAME
MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING —5 hb A � S t 15!'4i 9L
Class of work: Jl NEW ❑ ADDITION ❑ ALTERATION El REPAIR El MOVE El REMOVE
Describe work:
&r, a jI $Inc% bdGk i .5i ale- W a Lls Sf c►d ic�d�� `vs7� Ti-ii �S.d�n�
nt Fronts fletid1 ibyi Fed-- 22oclo-
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
a t? -
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES I BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FT-7-04 FIREPLACE ❑ DETACHED
JC THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the F p R OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in EPERMANENT ❑ SHORELINES ❑
conformance therewith.
NAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT
YES APPROVED NO
ZONING
Lic. No.
Date
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT PUBLIC WORKS
1 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. MOTOR VEHICLE PERMIT
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APPLICATION ACCEPTED BY PLANS CHECK BY A�OVED F IS UANCE
Owner cA 11,- Date./j - 3- _7$ B ��
PLAN CFjFrCK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
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