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HomeMy WebLinkAboutBLD0123 Move School and Remodel Community Bldg - BLD Permit / Conditions - 2/21/1984 { BUILNG PERMIT APPLIC 'ION ;x. MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED � _AL — PERMIT N0. © / I?/ NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER S •� s .w X .1Mll SC. % A 0_5 DIRECTIONS TO JOB SITE - 3 Sv 41L JF04 LEGAL i (❑ SEE ATTACHED SHEET) DESCR. a C �r1 Tv-(:)- NAME MAIL ADDRESS CITY&STATE LICENSE NO. L/? HCINE CONTRACTOR ,1 3 a mi/f -_ n-_ c.- L USE OF ( BUILDING Class of work: 19 NEW ❑ ADDITI Ai ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 1 ZG X Z60-1-F Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR 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 ❑ )Fi E.D. NO. S.E.P.A. El� w,�.o/y Special Approvals IN OUT YES APPROVEDNO Lic. No. AA-11-62 =zw Date E ZONING 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. L 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 APPLICATION ACCEPTED BY PLANN HE/^� APPROVED Fop ISSUANCE �y^L1[//f B 0wne Date. Y PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH t3V5•r-�` THELER RECREATION CENT8R #0123 2-21-84 Samuel B. Theler Testimonial Trust - N. Mason School LDist. 403 Contractor Hallett Const. 479-8161 Relocate existing school Renovate into community center $350,000.00