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