HomeMy WebLinkAboutBLD80-6081 - BLD Permit / Conditions - 3/24/1980 BUILDING PERMIT APPLICATION
.► MASON COUN Y
P.O. Box 186 Shelton, Washin ton 98584
426-5593 3
DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 8,S ATE ZIP PHONE
OWNER ; rd� -'zv crS �O 6^ 5 fc) ,9 -9-Y G lvd 8
DIRECTIONS
TO JOB SITE AO 1 M4 At 6 ,..
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. C(G
NAME WMALAD6DRYS9 CITY& ATE LICENSE NO. PHONE
CONTRACTOR '' ,, 11 /,
USE OF W )0 ,,,,��-'..: I_. 1
BUILDING ( (�
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ 04OVE ❑ REMOVE
Describe work:
Icra n o l�' e 09 4
C, b
J
Valuation of work: $ PLAN CHECK FEE P RhjMFEE
CI 0 '
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT I ECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT CON ENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED R ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS CO MENCED.
the State of Washington and I the
aware of the FOR
OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT [ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN f J
Firm — E.D. NO. S.E.P.A. ❑
By Special Approv I IN OUT YES APPROVED NO
Lic. No. —_ Date
ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEP
PUBLIC WOR S
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. 3
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
A LI N EPTED BY �fz
K BY VE IS UA
Owner Date�'�^��—�
PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.O. CASH