HomeMy WebLinkAboutBLD82-12357 R EROOF - BLD Permit / Conditions - 5/3/1982 Hodgson, Rita #12357
426-9893 5/3/82
Lot 5, Part of Lot 6 of woodland Manor
E 111 Woodland Driv , Shelton
RE-Roof Contractor:
24 Squares Morris Roofing
$1,440.00
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BUILDING PERMIT APPLICATION
MASON COUN Y
P.O. Box 186 Shelton, Washin ton 98584
426-5593 �(
DATEISSUED V
PERMIT NO.
OWNER NA t, t ME MAIL ADDRESS CITY 8 ST TE ZIP NE
R i r N c3 t�s r I , I car Iv tj F L 'T V'v kv A (PHOrs-
DIRECTIONS
TO JOB SITE Lit a 4 -W 3
LEGAL ,p i / (❑ SEE ATTACHED SHEET)
DESCR. L �J T 5~ U 0 L 0 T
CONTRACTOR
NAME AIL ADDRESS CITY 8 ST tE LICENSE NO. PHONE
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1�l u 6i s a ') )Z�" ry (; 0, IR a y, r �7 d ry 1N - 7 7
USE OF 3 ll
BUILDING O\ t S 1' z lr�--- 1N (�' 1 U-.
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ M CIVE ❑ REMOVE
Describe work: �J
Valuation of work: $ PLAN CHECK FEE PERMIT FE
SPECIAL CONDITIONS:
I
BEDROOMS DECKS _ CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ;El
ATTACHED iL SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMME CED.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT Ll SHORELINES
Firm SEASONAL ❑ FLOODPLAIN [
E.D. NO. S.E.P.A. 17
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration taw RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
Owner
Date. (� APPLICATION CC BY PLANS CHECK BY APPROVE�OR ISSUANCE
P CHECK VALIDATION CK,. M.O. CASH RMIT VALIDATION CK. M.O. CASH