Loading...
HomeMy WebLinkAboutBLD10996 Final Finish Room - BLD Permit / Conditions - 8/14/1981 HARRIS, Bob #10996 fit. 2, Box 257, Belfair 07-13-81 Tract 43, N1/2 of Tr. 44, Sam Theler Home Garden Tractf On Highway 3 to Belfair ,just North of junction Hwy 3 and 106 Add 161X16' Finish Room Contractor - Self $2,560.00 3; 0 r BUILDING PERMIT APPLICATION w MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 / / � —oK/ DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY 8 STATE �p ZIP PHONE OWNER AK9AEA FA/A\ W oO `, 7 DIRECTIONS ON 1-1 roj4t() y ©f �uAJ C-V.00 �7 3 AM TO JOB SITE SE R �uST "OR7H (❑ SEE ATTACHED SHEET) LEGAL D SCR. I R , *3 IU A o F TR 44 SRM The 4 a oe ( AR P S I T"'c T s NAME MAIL ADDRESS CITY R STATE LICENSE NO. P HO NE CONTRACTOR /� /� 4,,pp /L,/ USE OF t,�oRtc5140#0 PWQ6 37ORAG5 APD 14- FlN/S)' OO' 1 BUILDING Class of work: ElNEW -.ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: / i S M P ER 00A 03 o��yX o?V)c PERMIT F Valuation of work: ^�) © PLAN CHECK FEE SPECIAL CONDITI oC �f3 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. DETACHED //❑ TOTAL SQ. FT. (. FIREPLACE ❑ 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. 1 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 PSEASONA;L T SHORELINES L conformance therewith. FLOODPLAIN ❑ ❑ Firm E.D. NO. S.E.P.A. ❑ Special Approvals IN OUT YES APPR VIEDNO By z0 Lic. No. a Date / gl PLANNING DEPT. H EPT. OWNERS AFFIDAVIT PU I certify that I am exempt from the requirements of the SHAL 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 A be in conformance therewith. MO VEHICLE PERMIT PPLICA O A ED BY PLANS CHECK BY AP OVED FOR ANC Ow er Dat AN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH