HomeMy WebLinkAboutBLD78-7895 SHOP - BLD Permit / Conditions - 12/12/1978 s
Day, Bert & Son #7895
12-12-78
NW SE 4-20-4 Contractor
Garbage Dump Storm King All Weather
Machine Shop
$6,800.00
r .
BUILDING PERMIT APP (CATION &,V
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STA � ZIP _ PHONE
DIRECTIONS
TO JOB SITE f'S
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. cz✓ G. L/`
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF _
BUILDING
Class of work: ,-❑ NEW ❑ ADDITION ❑ ALTERATI N ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ � C-, PLAN CHECK FEE PERMIT FEE� Cy-.-�z-: o•
ECIAL CONDITIONS:
Cy
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PER ITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BE OMES 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 F O 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 �d��%v — ,& r..6�
. NO. S.E.P.A. ❑By .r-,* ;� cial Approvals IN OUT YES APPROVEDNO
— NING
Lic. o.d��,/ _�`� ,>` - i Date% �`7ANNING DEPT.
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
of the Mason County ordinance requirements for BUILDING DEPT
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR SSUANCE
Owner _ Datelaz�
I
PLA V
ECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
BUILDING PERMIT APPLICATION
4
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STA E LL ZIP PHONE
OWNER '/ — /- J_ k 5. C . c�/7�Lam'' - ??-7
DIRECTIONS I
TO JOB SITE
(❑ SEE ATTACHED SHEET)
LEGAL _
DESCR. ,z4j_ E . - v z L/— nl l�/v�� DAitJ<�e--
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR � '"T D <_ � n/, �'T , i7-1S/' -3 0?23-7.
USE OF
BUILDING
Class of work: --El NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ M VE ❑ REMOVE
Describe work: r
67
Valuation of work: $ / PLAN CHECK FEE PERMIT FEE
h v'
ECIAL CONDITIONS:
BEDROOMS 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 SQ. FT. I 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 00 ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
1 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 ^`�DI'.f3 /] ^ - /tiE E�D. NO. S.E.P.A. ❑
�' Special Approvals IN OUT YES APPROVED
B NO
y_
Lic. Date) �' ' 2rP ZONING
PLANNING DE PT.
HEALTH DEPT.i �Z-�-?t� /2
OWNERS AFFIDAVIT qj!'
PUBLIC WORK �,-�-?I certify that I am exempt from the requirements of the FIRE MARSHA
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESSI N6F fttc�urRED �'`� tenQ aF �1X1
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION AC EPTED BY PLANS CHECK BY APPRqyEo FOR ISSUANCE
Owner Date_ BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH