HomeMy WebLinkAboutBLD10364 Change Carport to Garage - BD General - 4/8/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 170"-- �
DATE ISSUED_
PERMIT NO. /
/� tu�E AIL ADDR SS CITY&STATE ZIP PHONE
HDIRECTIONS
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�(E .S�c /%�// eo —
LEGAL /� (❑ SEE ATTACHED SHEET)
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DESCR. Ls7 1 5 /f _ L vc�� Y u�tlf v�J � � 7`-4 Z �Z3
4AME MAIL ADDRESS � CITY&S ATE
LICENSE NO. PHONE
CONTRACTOR �,(f 2-0 /�IPYd/ /� ✓/�� Z�L �'�.'. /9�'�/�j %f7�-�,3i6 ��' Y`y�'1//0
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
1
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Valuation of work: $ // 1{�/ C-f� PLAN CHECK FEE PERMIT FEE Si
SPECIAL CONDITION'S:: X 7'
BEDROOMS DECKS CARPORT [] NOTICE r
BATHROOMS TOTAL SO. FT. GARAGE LI SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING/
NO. OF STORIES BASEMENT Lj ATTACHED [J OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED LJ
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTEP
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in SHORELINES
conformance herewith. PERMANENT
y/ SEASONAL FLOODPLAIN
E.D. NO.
Firm S.E.P.A. _.
By Lf --
Special Approvals IN OUT YES APPROVED
3i( C' / Date 3� ZONING
Lic. No.!' PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT ACE
AP CATION ACCEPTED BY S CH K BY APPROVED F
Date . , BY
Owner ��Ar�0�?
��� SH
DATION
LAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALI CK. / M.O.
3�a3a 5�
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BUECHEL, Richal�d #10364 & IAM
Q4-0.8-81
POW
31-22-3
IF
e n Union
Change carport to garage
Contractor
Armstrongs
__ __$_4,34.4.00
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