HomeMy WebLinkAboutBLD4072 Garage - BLD Permit / Conditions - 11/30/1976 Alkire, Ira M. #4072
11-30-76
Colony Surf 3 Blk. 1 Lots 10A, 11A, 12A
Tr. 5&6 N E4 N E4 9-23-3
Garage
$4,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER i,NAME _ MAIL ADDRESS CITY&STATE ZIP _ PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. j
CONTRACTOR AME MAIL ADDRESS CITY&STA E LICENSE NO. PHONE
USE OF
BUILDING
Class of work: Xq W ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ ,/ -t%' PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
ICATIO CC TED BY PLANS CHECK BY APP ED FOR I UANCE Type of Occupancy Division
BY x- - Const. Group
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 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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
b, in onforman 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
Owner J Date. /113, Z WORK IS COMMENCED.
PAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH