HomeMy WebLinkAboutBLD10246 - BLD Permit / Conditions - 3/20/1981per
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�y1' BUILDING PERMIT APPLICATION M N
3, P.o. Box MASON COUNTY
86 Shelton, Washington 98584
len
3 a - q o I 11 426-5593
DATE ISSUED_.
OWNER NAME MAIL ADDRESS PERMIT NO.---�2
Wi ll i ams,3014 N. E. cITY&STATE
DIRECTIONS 137th. Seattle, Washington,ZlP 364-4869Q"E
TO JOB SITE 5/10th mile south of Sherwood
LEGAL Creek bridge
DESCR. J
e-16- (❑SEE ATTACHED SHEET)
CONTRACTOR NgME MAIL ADDRESS
Sound Const.&Hse.Clners, 626 Navy Yard�gATE B
LICENSE NO. PHONE
BUILDING
USE of wy, rem,Wn.223-01-SO-UN-DC-FI236
Class Of work: -Ph.373-1441
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe
Repair Fire damage
work:
Repair Fire damage to interior, ceiling and roof
,
Valuation Of work: $
1,500.00 PLAN CHECK FEE
SPECIAL CONDITIONS: PERMIT FEE
�v25.00
a
i
BEDROOMS DECKS
BATHROOMS �— CARPORT❑
NO. OF STORIES
-1--- TOTAL SO. FT. GARAGE ❑ NOTICE
_ BASEMENT❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ OR AIR CONDITIONING.
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
f SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
certify that I am a currently registered contractor in ,
the State of Washington and I am aware of the WORK IS COMMENCED.
ordinance requirements regulating the work for which
the permit is issued and all work done will be in FOR OFFICE USE ONLY
conformance therewith.
Sound Const.&Hse Clnrd, Inc• PERMANENT❑ SHORELINES ❑
Firm SEASONAL ❑
FLOODPLAIIV❑
By E.D. NO.__
S.E.P.A. ❑
Lic. No. 1)257643-81Date Special Approvals IN
3-18-1 g81 OUT YES APPROVED NO
ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
/be
rtify that I am exempt from the requirements of the PUBLIC WORKS
tract or registration law RCW 18.27, and am aware FIRE MARSHAL
he Mason County ordinance requirements for
h this permit is issued and that all work done will BUILDING DEPT.
n conformance therewith. ROAD ACCESS
Owner
M R VEHICLE P IT
Date_ P ATION A Y PLANS CHECK BY
PR ED FO E �
PLAN CHECK VALIDATION CK. M.O. CASH s
Y
PERMIT VALIDATION CK. M.O.
. CASH
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Williams, Bolan #10246
3-20-81
5/10 mi. south of Sherwood Creek Bridge
29-22-1 - N 1/2 N 1/2 NW SW
Repair fire damage to interior, ceiling and roof
$1,500.00