HomeMy WebLinkAboutBLD7658 Bldg 2 Foundation for 4-Plex - BLD Permit / Conditions - 10/5/1997 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED f" ',L " -'Z
PERMIT NO. fK 1 S
OWNER NAME MAIL ADDRE CITY&STATE ZIP PHONE
DIRECTI NS
TO JOB SITE
LEGAL SEE ATTACHED SHEET)
DESCR. � .�.� J P-jr
CONTRACTOR r NAME
L ADDRESS CITY&;STATE LICENSE NO. PHONE
USE OF
BUILDING �-
Class of work: EW ❑ AD ITI ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ � PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPR YED FOR ISPUANCE Type of Occupancy Division
BY t'f -tt_{{ Const. Group
':2 t 9 M`GCSL A4 k c_c
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Contractor in RESIDENCE
the State Of Washington and I am aware Of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all done will be in Special Approvals Required Received Not Required
conformance t�ith.� � ZONING
HEALTH DEPT.
F� /�_
PUBLIC WORKS
By ROAD DEPT.
Li ate 1VJ
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,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
In 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
f' SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
0 Date_ G? WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH,
Hideaway Townhouse Trust #7658
10-5-77
Port G. L. 3 & 4 3102301 Bldg. 2
Contractor
Foundation for 4-Plex Fab Tech
$3.180.00