HomeMy WebLinkAboutBLD80-5839 - BLD Permit / Conditions - 2/11/1980 #5839
Bargmeyer, Henry
Lot 15, Woodland Manor
contractor--
Covered Porch Bargmeyer,
Henry
$1,440.00
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y BUILDING PERMIT APP ICATION
MASON COUNT
P.O. Box 186 Shelton, Washingtc n 98584
426-5593 _
DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS
CITY&STA ZIP PHONE
6
OWNER
DIRECTIONS /�� JJ
TO JOB SITE �4�'Lpt
(❑ SEE ATTACHED SHEET)
LEGAL
DESCR. PHONE
NAME
MAIL ADDRESS CITY 8 S E LICENSE NO.
CONTRACTOR /
USE OF
BUILDING
Class of work: ❑ NEW '541 ADDITION ❑ ALTERATION ❑ REPAIR I N OVE ❑ REMOVE
Describe work:
Valuation of work: $
PLAN CHECK FEE ERMIT FEE
/ 5 7, 2 7
SPECIAL CONDITIONS:
BEDROOMS f DECKS CARPORT ❑ NOTICE
BATHROOMS_TOTAL SQ. FT. GARAGE ❑ SEPARATE P MITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑
ATTACHED El OR AIR COND�IONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED THIS PERMIT COMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COM ENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED W I ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WORK IS CONg I MENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the F R OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT ❑ SHORELINES ❑
conformance therewith.
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A.
Ll
APPROVED
By
Special Approva IN OUT YES NO
ZONING
Lic. No.-- Date
PLANNING D T.T.
HEALTH DEP
OWNERS AFFIDAVIT PUBLIC WOR
I certify that I am exempt from the requirements of the FIRE MARSH
contract or registration law RCW 18.27, and am aware BUILDING DE T.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCE
be in conformance therewith. MOTOR VEHI LE PERMIT
APPLICATION A EPTED BY PLANS CHECK BY Ov
PPROVED FOR ISSUANCE
Own r a o ate.
PLAN CHECK 1 ATION CK. M.O. CASHfills
PERMIT VALIDATION CK. M.O. ASH
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