Loading...
HomeMy WebLinkAboutBLD14438 Cancelled Addition to Gas and Grocery Store - BLD Permit / Conditions - 7/26/1983 Harris, Mr. & Mrs. Robert #14438 275-4501 7/26/83 Tract 43 & N 1/2 of Tract 44, Thelers Home & Garden Tracts Hwy 3 to Belfair, 1 mile before Belfaft, left side, NE 22551 "way 3 Addition to Gas & Grocery Store Contractor: Western Petroleum $13,000.00 PlAus Were le#t to office, Holding ca �{ !p 0 O rrtt w p O m F%+ O w O lD p m cr O 0 m rt O A p O M t rt O fD rt ti to N�° �, � pi .. . m o+ rt n v� Fes+. CA F-+ .1 01 ry iy p A N OD C ►1 r`S M µ 't P� OQ rf pC'Oq Fr AP f+ + rt PC W C N µ n •• O rAt .. b c p° m I -BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED,,/af, p PERMIT NO. NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE OWNER PT � and rs Robert Harris T�; 22551 LUAl' 3 Eelfair ��lashington 98528 275- ,501 DIRECTIONS TO JOB SITE Hw from Shelton to Belf a.ir 1 mile bef or Belf air left side ?p F ^ /J =S E ATTACHED SHEET) LEGAL DESCR. Wrs 9v-'z NAME MAIL ADDRESS CITY 8 STATE O E 6 LICENSE NO. 1_ CONTRACTOR IkUWrn Petroleum Const INC 8335 T+ artin WaS e�4y WA Westepc175 USE OF Gas and Grocey store BUILDING Class of work: X0 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT EEC t7 13,000 . 00 SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING. TOTAL SO. 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 WORK IS COMMENCED. I certify that I am a currently registered contractor in the State of Washington and I am 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 PERMANENT ❑ SHORELINES ❑ conformance therewith. SEASONAL ❑ FLOODPLAIN ❑ Firm_ wP� u onst N S.E.P.A. ❑ E.D. NO. Special Approvals IN OUT YES APPR VED NO By Zen �r tel= 7 KT A Date 12 J 11V 19B ZONING Lic. No. xx PLANNING DEPT. 7 HEALTH DEPT. OWNERS AFFIDAVIT PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL f contract or registration law RCW 18.27, and am aware gUILDiNG 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 APPLICATION ACCEPTED BY PLANS ECK BY APPROVE OR ISSUANCE j BY Own ate 1 C� .T„ 3 V z PLAN VCHVALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH