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HomeMy WebLinkAboutBLD78-9796 res - BLD Permit / Conditions - 4/14/1978 Wilson, H. & Oltman, R. #9796 4-19-78 Shigley's Home Tracts Lot 10 12-20-4 Spring and Shigley Road Residence (moved in) $23,085.00 1 NA 7 1 N + a_ BUILDING PERMIT APPIUCATION MASON COUN Y P.O. Box 186 Shelton, Washinc,Ion 98584 DATE ISSUED #- PERMIT NO. e° OWNER NAME MAIL ADDRESS CITY&ST E ZIP ji, DIRECTION , TO JOB SITE DESCRLEGAL. .�{\��,��f5 �� (❑ SEE ATTACHED SHEET) CONTRACTOR NAME MAIL ADDRESS CITY&ST TE LICENSE NO. PHONE USE OF r r BUILDING /`FQ C Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR VE ❑ REMOVE Describe work: k V Valuation of work: $ g � ' PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of f Occupancy Division YA BY Const, Group 1 "— 00 ` < Size of Bldg. No. of Max. CONTRACTOR AFFIDAVIT (Total) Sq. Ft. Stories Occ. Load PERMAN NT 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 w rk done will be in Special ApprovalE Required Received Not Required conformance therewith. ZONING HEALTH DEPT. Firm PUBLIC WORKS By ROAD DEPT. Lic. No. Date OWNERS AFFID�VIT I certify that I am exempt from th requirements of the N O T I C E contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for SEPARATE PERM S ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, s which this permit is issued and that all work done will VENTILATING ORiR CONDITIONING. !�(\ be In conformance therewith. THIS PERMIT BEC )MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMEN ED WITHIN 120 DAYS, OR IF C NSTRUCTION OR WORK IS SUSPENDED OR A OANDONED FOR A PERIOD OF 1 DAYS AT ANY TIME AFTER Ow er �j — � � Date WORK IS COMMENCED. 'LAN CHECK VALIDATION CK. M.O. CASH RMIT VALIDATION CK. M.O. CASH i BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washin ton 98584 DATE ISSUED +� W &L "MI OWNER NAME MAIL ADDRESS CITY&ST E ZIPI PHONE DIRECTIONS 33 TO JOB SITE LEGAL DESCR. (❑ SEE ATTACH SHEET) NAME MAIL ADDRESS CITY&S1 ATE LICENSE PHONE CONTRACTOR USE OF ; BUILDING vt Class of work: ❑ N ❑ ADDITION ❑ ALTERATION ❑ REPAIR NPVE ❑ REMOVE Describe work: Sjt f-eJ Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division BY 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 t 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 Approval Required Recei ied Not Required conformance therewith. ZONING HEALTH DEPT Firm PUBLIC WORKS By ROAD DEPT. Lic. No. Date 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 PERIv ITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, of the Mason County ordinance requirements for VENTILATING ORiAIR CONDITIONING. which this permit is issued and that all work done will be in conforman a therjpwith. , THIS PERMIT BECIDMES NULL AND VOID IF WORK ORiCONSTRUCTION AUTHORIZED 1 n IS NOT COMMEP¢ED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS Ownerh SUSPENDED OR ABANDONED FOR A PERIOD OF 12J0 DAYS AT ANY TIME AFTER ate, WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH DERMIT VALIDATION CK. M.O. CASH