HomeMy WebLinkAboutBLD7662 Bldg 6 Foundation for 4-Plex - BLD Permit / Conditions - 10/5/1977 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDIRES CITY&STATE
_ ZIP PHONE
DIRECTIONS V, a
TO JOB SITE
LEGAL
'EE ATTACHED SHEET)
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF l C
BUILDING l/ 1
Class of ork: EW ❑ ADD MN ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
( '
SPECIAL CONDITIONS:
A"Q ICATION ACCEPTED BY PLANS CHECK BY rAPP ED FOR I DANCE Type of Occu ancf_ P y Division
(. � rL ..i.c Const.
Group
Size of Bldg. No. of Max.
CONTRACTOR AFFIDAVIT (Total) Sq. Ft. Stories Occ. Load
I certify that I am a currently registered contractor in RESIDENCE PERMANENT SEASONAL E.D.NUMBER
the State of Washington and I am aware of the
ordinance requirements regulating the work for which MOBILE HOME
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT. .1
Fin PUBLIC WORKS
By w � ROAD DEPT.
r
Lic ate
OWNERS AFFIDAVIT
I certify 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 County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
111Sh this permit is issued and that all work done will VENTILATING OR AIR CONDITIONING.
be i conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
O Date SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. �CASH�`
Hideaway Townhouse Trust
#7662
10-5-77
Port. G. L. 3 & 4 31-23-1 Bldg. 06
Contractor
Foundation for
4-Flex Fab Tech
$3,180.00