HomeMy WebLinkAboutBLD83-14099 - BLD Permit / Conditions - 6/7/1983 t of #14099De artmen
Mason County P General Services, 426-5593 6/7/83
Mason County LandfN� � y
Maintenance Building
Contractor:
ReRoof Obendorf Distributing
$1,500.00
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BUILDING PERMIT APP ICATION
MASON COUN Y
P.O. Box 186 Shelton, Washing on 98584
426-5593 .�
DATE ISSUED
Q, PERMIT NO.
OWNER AME MAIL ADDRESS CITY&STATE ZIP PHONE
'OL 5 Gt/ S`8' (v s-3 L2
DIRECTIONS
TO JOB SITE n am ce- 1 Q Steyr L
(❑ SEE ATTACHED SHEET)
LEGAL]
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR 4�L,-
bi, .H S 7 Oi-, L/ a !'a/� 20 1_j)
USE OF
BUILDING &Slkm
Class of work: ❑ EW ❑ ADDITION ❑ ALTERATION AREPAIR ❑ MOVE ❑ REMOVE
Describe work: /f
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
0 a
SPECIAL CONDITIONS:
BEDROOMS_ — f DECKS — CARPORT L NOTICE
BATHROOMS_ ITOTAL SO. FT IC C GARAGE ❑
SEPARATE PE MITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES I 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 L! SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm dbe.ttjor't id,,S�Ir;Oufita E.D. NO. S.E.P.A. ❑
By Q Special Approvals IN OUT YES APPROVED NO
Lic. No.O1?e:&0Q .2Q7L D Date ( 7 S3 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORK
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.
of e
he Mason County ordinance requirements for
w ich this permit is issued and that all work done will ROAD ACCESS
in conformance therewith. MOTOR VEHICLE PERMIT
PLICATION ACCI TER BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner ___ Date
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH