HomeMy WebLinkAboutBLD12127 Garage - BLD Application - 3/12/1982 BUILDING PERMIT APPLICATION
j MASON COUNTY
P.O. x 186 Shelton, Washington 98584
ll 1 �✓ 426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CI &STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE
LEGAL (❑SEE ATTACHED SHEET)
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CONTRACTOR NAME MAIL ADDRESS CITY S STATE LICENSE NO. PHONE
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USE O ^
BUILDING
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Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 3 Q
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT GARAGE)( 3 5�7
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 FORA PERIOD OF 180 DAYS AT ANYTIME 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.
OWNERS AFFIDAVIT LMA5§dAl,_
TH DEPT.
IC WORKS
I certify that I am exempt from the requirements of the
contract or registration law RCW 18.27, and am aware DING DEPT
of the Mason County ordinance regyjrements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LIGATION ACQEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Own44� ✓ Date B�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ,CK. M.O. CASH
$ PA�r�
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