HomeMy WebLinkAboutBLD7657 Bldg 1 Foundation for 4-Plex - BLD Permit / Conditions - 10/5/1977 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
OWNER NAME PERMIT NO.
MAIL ADDRES CITY&STATE
DIRECT NS ZIP PHONE
TO JOB SITE
LEGAL _ � —
DESCR. ��
E ATTACHED SHEET)
CONTRACTOR E MAIL ADDRESS
USE OF
CITY 8 STATE
LICENSE NO. PHONE
_ •;�.L _ _
BUILDING
Class of work:
Describe work: dti� f
NEW ❑ AD DI El ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
Z
Valuation of work: $
`-i1� `� PLAN CHECK FEE
SPECIAL CONDITIONS: PERMIT FEE
APPLICATION ACCEPTED BY PLANS CHECK BY APp ED FOR I
PUANCE Type of
i BY/,_i�.'-... -•_� ConsL Occupancy Division
Group
Y4At.i s.. J l'
Size of Bldg. No, of
CONTRACTOR AFFIDAVIT (Total) Sq. Ft. Stories Max.
Occ. Load
I certify that I am a currently registered contractor in PERMANENT SEASONAL
the State of Washington and I am aware of the RESIDENCE E.D.NUMBER
ordinance requirements regulating the work for which MOBILE HOME ----
conformance permit is issued and •work done will be in Special A
conformance therew' p pprovals Required
Received Not Required
ZONING
_ HEALTH DEPT.
Y
PUBLIC WORKS
ROAD DEPT.
ate
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the
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,
w h this permit o issued and that all work done will
VENTILATING OR AIR CONDITIONING.
e ' 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
ate. SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WORK IS COMMENCED.
t
,N CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK. M.O.
ASH
Hideaway Townhouse Trust
#7657
10-5-77
Port G. L. 3 & 4 31-23-1 Bldg. 1
Foundation for 4-Plex Contractor
Fab Tech
$3,180.00