HomeMy WebLinkAboutBLD80-6226 - BLD Permit / Conditions - 4/21/1980 Cornett, Myron #6226
' 4-21-80 )LICA TION
All of the land lying southerly of Hwy 9-D in the 1 i
SE 1/4 of the SW 1/4 of Section 28, Township 19 North, gton 98584
Range 4 W.. , W.M. Q
DATE ISSUED
Half way between McCleary & Kamilche on South Side of
Road 108 PERMIT NO.
ATE ZIP PHONE
Wood Stove 5 11, 2 3 rY
'k'i (che Oil CT rac'j /69
$754.00 1 ;H t-Ae (7- SEE
ATTACHED SHEET)
S ATE LICE9SE NO. PHONE
USE OF
BUILDING ► - 1 C�C.�CiDI� �J / d ���
Class of work: NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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yS1-0L ydJ 1L l.il�r7'+ nE �� T /�j,�i('$' r�� L�OC.L. Q �� � IOZ—P3r,tit
Valuation of work: $ _ PLAN CHECK FEE PERMIT FEE
7
SPECIAL CONDITIONS:
e ej i77 16 aA
BEDROOMS __ ___—_ {DECKS ___ CARPORT NOTICE
BATHROOMS __ (TOTAL SO. FT.____ GARAGE
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SO. FT._ FIREPLACE DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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.
HEALTH DEPT.
OWNERS AFFIDAVIT PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
/hich
ct or registration law RCW 18.27, and am aware BUILDING DEPT.
e Mason County ordinance requirements for
this permit is issued and that all work done will ROAD ACCESS
conformance t ewlth. MOTOR VEHICLE PERMIT
Owner' �' t �- � Date '41 �� �t� API A�TILON ACC TED BY PLANS CHECK BY BY OVEO FOR ISSUANCE
J
i
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Cornett, Myron #6226
4-21-80
All of the land lying southerly of Hwy 9-D in the
SE 1/4 of the SW 1/4 of Section 28, Township 19 North,
Range 4 W.. , W.M.
Half way between McCleary & Kamilche on South Side of
Road 108
Wood Stove
$754.00
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