HomeMy WebLinkAboutBLD77-4227 - BLD Permit / Conditions - 1/24/1977 Yee,,
BUILDING PERMIT APP (CATION
MASON COUN Y
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED �/ a�/ 7 7
PERMIT NO. ` 7
NAME MA A DRESS CITY&STA ZIP PHONE
OWNER Ray Schwietering P.C. Box 548 Shelton, WV' hi--zgton 985,4 426.
DIRECTIONS
TO JOB SITE Spring Road
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Sec 12 TS 20 Range 4 T& S' 60
NAME MAIL ADDRESS CITY&ST E LICENSE NO. PHONE
CONTRACTOR gent Nail Const. Inc. P.O. Box 164 Shelton, A BE NT NC 284 NH 426-9757
USE OF
BUILDING Residential
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Reroof
Describe work:
#1 heavy shakes to be reroofed over existing oof with new lath s eetin .
Valuation of work: $ PLAN CHECK FEE P RMIT FEE
1300.00
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY A ROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
co formance therewith. ZONING
HEALTH DEPT.
Firm ' PUBLIC WORKS
ROAD DEPT.
By
Lic. No. 4 Alla Date f
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES 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
Owner Date_ WORK IS COMM LACED.
PLA�+I CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH