HomeMy WebLinkAboutBLD0259 Final Addition - BLD Permit / Conditions - 4/6/1987 14
'BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
OWNER NAME PERMIT NO.
ff CITY 8 STATE
DIRECTIONS t`� of rfZd 7 /`f ` ��i ZIP PHONE
/ cL ic/rY
TO JOB SITE � ..� �S-
r
LEGAL ��'0 A4 / M y� C� 0,
DESCR. N
O F
�.� / (❑ SEE ATTACHED SHEET)
CONTRACTOR NAME MAIL ADDRESS f
CITY
�, cx be LICENSE NO. HONE
USE OF
BUILDING , _) < �14,6� - -�'
u 1 t�Class of work: ❑ NEW �
ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMVVE
Describe work: i
c/ r k, N
jj
Valuation of work: $ d� � 'o CL '0 cL�J1 �4A.�G h
11 C? C�Ci PLAN CHECK FEES /��� �' '�
SPECIAL CONDITIONS: PERMIT F E
-------------
BEDROOMS _ {DECKS
BATHROOMS___ I — CARPORT Cj
---- TOTAL SQ. FT. GARAGE _; NOTICE
NO. OF STORIES BASEMENT C] ATTACHED ! SEPARATE PERMITS ARE REQUIRED FOR PLUMBING
TOTAL SQ. FT. DD FIREPLACE Ci DETACHED L7 OR AIR CONDITIONING. G, HEATING, VENTILATING
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHOR-
IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
I certify that I am a currently registered contractor in SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
the tate of Washington and I am aware of the WORK IS COMMENCED.
ordin nce requirements regulating the work for which
the erm it is issued and all work done will be in FOR OFFICE USE O
con ormance therewith. ONLY
PERMANENT
SHORELINES
Fir SEASONAL f
FLOODPLAIN
By E.D. NO.
S.E.P.A. .
Special Approvals IN
Lic. No. Date OUT YES APPROVED NO
ZONING
PLANNING DEPT.' O -7
OWNERS AFFIDAVIT HEALTH DEPT.
I certify that I am exempt from the requirements of the PUBLIC WORKS
contract or registration law RCW 18.27, and am aware FIRE MARSHAL
of the Mason County ordinance requirements for
which this permit is issued and that all work done will BUILDING DEPT.
be in conformance therewith. ROAD ACCESS /gam
�r G > MOTOR VEHICLE PERMIT Owner '. pl ,� .r / �/
Date Lf 0 APPLICATION ACCEPTED BY
PLANS ECK BY APPROVED ISSUANCE
/ BY
'LAN CHECK VALIDATION CK. M O �L gilts-z.
CASH
PERMIT VALIDATION CK. M.O. CASH
i
MC COWAN, Maxie L. #0259
_ 2-7-85
NW-1/4, SW-1/4 31-23-1
NE 2093 Hwy 300
Belfair 98528 275-4129
2.4 miles from Belfair on Hwy 300
Contractor
Self
Addition to Deli
$36,000.00
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