HomeMy WebLinkAboutBLD80-6754 FENCE - BLD Permit / Conditions - 6/27/1980 BUILDING PERMIT AP L►CATION
r
MASON COUN Y
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
NAME PERMIT NO. _
OWNER � � MAIL ADDRESS DIRECTIONS CITY&ST --------__--
t� 11 f
C) ��� ZIP PHO E
TO JOB SITE Q f k
LEGAL '
DESCR. / �s (O SEE ATTACHED SHEET)
NAME ` r :S /ylt°
CONTRACTOR MAIL ADDRESS CITY&ST TE
LICENSE NO. PHONE
USE OF
BUILDING �,�tC
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ ►yl
VE ❑ REMOVE
Describe work.
Valuation of work: $ �y�.
' C>�� My� PLAN CHECK FEE PERMIT FEE/_ ao
SPECIAL CONDITIONS:
BEDROOMS DECKS
BATHROOMS CARPORTCi
TOTAL SQ. FT. GARAGE L] NOTICE
NO. OF STORIES BASEMENT [I ATTACHED i] SEPARATE PERMITE ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
TOTAL SQ. FT. FIREPLACE Li DETACHED Li OR AIR CONDITIONING.------
ONDITIONI G.
CONTRACTOR AFFIDAVIT THIS PERMIT BECOM S NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
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 FO�
the permit is issued and all work done will be in OFFICE USE ONLY
conformance therewith.
PERMANENT ❑ SHORELINES
irm SEASONAL ❑ FLOODPLAIN i7
Y
E.D. NO. S.E.P.A. L 1
Special Approvals IN OUT YES APPROVED NQ
ic. No.
Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
I certify that I am exempt from the requirements of the PUBLIC WORKS
contract or registration law RCW 18.27, and am aware FIRE MARSHAL
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will
be in co+fancej'herewith. ROAD ACCESS
MOTOR VEHICLE PER IT
Nner I /� l -�� APP ATION ACCEPTED B
-------____Date. _"` PLANS CHECK BY APPROVED FOR ISSUANCE
BY
AN CHECK VALIDATION UK. M.O. CASH
PERM IT VALIDATION CKr .O. CASH