HomeMy WebLinkAboutBLD9790 Garage and Storage - BLD Permit / Conditions - 4/25/1978 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED— 7 _
PERMIT NO. 9
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE ,! p- / U U
LEGAL L®T.,s Al 7 IW .4 v fb ff 3 e 1. G�Y7JJ L�/�/Y (❑ SEE ATTACHED SHEET)
DESCR. 1. f 1-vvt'M GEC? a.A7— O/G U /
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF A
BUILDING laµ e
Class of work: ,I NEW ❑ ADDITION It ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Descri a work:
Valuation of work: $ t?�r PLAN CHECK FEE PE MIT FEES
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY Const. pp�� Group .�
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load �J-
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 work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING _
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
—
Lic. No._ _ Date —
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 REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be In conform nce therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
O ne Date. � WORK IS COMMENCED,
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Reed, Orville #9790
4-25-78
Lots 4-7 Blk 53 Hood Canal Land & Improvement Co.
Plat of Union
Garage and Storage
$3,510.00
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