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HomeMy WebLinkAboutBLD11535 Cancelled Garage - BLD Permit / Conditions - 10/6/1981 * ' } BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATEISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY& T TE ZIP PHONE All d 77-9d DIRECTIONS TO JOB SITE LEGAL /all � (❑ SEE ATTACHED SHEET) DESCR. �OT — _ CONTRACTOR ME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE USE OF , BUILDING Class of work: INNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE 11.li SD a o so SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE X S'?c> ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ 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 AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the 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 conformance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. 6 OWNERS AFFIDAVIT HEALTH DEPT. 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 © 6 8 which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT A�LICATION ACCEPTED.BY PLA S CHECK BY APPROVED FOR ISSUANCE Own Date . � ,/� � BY PLVN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH a • t� t/► ? N i f i VQ Z J V i i _y ti Bell, Donald #11535 10/6/81 4 Lot A, Govt. Lot 2, 17-23-3 Rt. 1, Lilliwaup Garage Contractor: $4,680.00 Self Shoreline Exemption 3�31-7_ yq- ooSo fD O R 7nwC NfrD• r.•- hOt r?t O rN— rRO OOr aC Q O r rr rot yhn•varO 0 Jo � faprn, m " 0 . c " U,PI pi M lb P- O I.,• lb (0C W C)O lb 00 R C) OV Cn 03 D mlbM0-1 -A O m a