HomeMy WebLinkAboutBLD79-9378 ADD - BLD Permit / Conditions - 10/8/1979 9378
Armstrong, Fred 1p_8_79
Cherry Park Lot 23
Contractor
Addition Bob Fuller
$12,672.00
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BUILD
ING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /D 79
OWNER E PERMIT NO.
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DIRECTIONS ZIP PHONE
TO JOB SITE ��✓���
LEGAL
DESCR. (❑ SEE ATTACHED SHEET)
CONTRACTO ME MAIL ADDRESS ��ii
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1�`7 `v LICENSE NO.
PHONE
USE OF d- F-UG-j25-.,A v
BUILDING _ 7' Z6-�Slrr;
Class of work: ❑ NEW
ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $
FEE
SPECIAL CONDITIONS: PERMIT FEE
BEDROOMS {DECKS
BATHROOMS _ ! CARPORT ❑
TOTAL SO. FT. GARAGE ❑ NOTICE
NO. OF STORIES BASEMENT ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ OR AIR CONDITIONING.
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, R IF SUSPENDED OR ABAN ONED FOR A PERIOD OF 120 DAYS UAT ANY TIME ARFTEIS
R
I certify that I am a currently registered contractor in the State of Washington and I am aware of the WORK IS COMMENCED,
ordinance requirements regulating the work for which
the permit is issued and all work done will be in FOR OFFICE USE ONLY
conformance therewith.
PERMANENT ❑ SHORELINES
Firm SEASONAL ❑
FLOODPLAIN n
By E.D. NO.
S.E.P.A. ❑
Special Approvals OUT YES APPROVED
Lic. No. �'</G- Z�Z/�� Date � No0 8 7q ZONING IN
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
I certify that I am exempt from the requirements of the PUBLIC WORKS
contract or registration law RCW 18.27, and am aware FIRE MARSHAL
of the Mason County ordinance requirements for which this permit is issued and that all work done will BUILDING DEPT.
be in conformance therewith. ROAD ACCESS
Ow MOTOR VEHICLE PERMIT
ner '
-- -- Date, APPLICATION ACCEPTED BY PLANS CHECK BY
—"--- A ROVED FOR ISSUANCE
PLAN CHECK VALIDATION CK. �"�`�'' �����
M.O. CASH
PERMIT VALIDATION K. }, M.O. CA H