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HomeMy WebLinkAboutBLD85484 Garage and Equipment Storage - BLD Application - 10/14/1975 j BUILDING PERMIT APPLICATION ! MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE ISSUED ��Zp I2 Z �i �, PERMIT NO. — MAIL ADDRESS -------- -,---ZIP -- -- PHONE -- OWNER 1 ` T o - V--( io_�i�x gio_ Z. 6l4�-ram 4zc l Z6 z DIRECTIONS TO JOB SITE LEGAL I MAIL ADDRESS Z'P (❑ [ '• DESCR. le y,� �j ! L ATTACKED SHEET) MAIL ADDRESS PHONE CONTRACTOR R Jsc IS USE OF MAIL ADDRESS PHONE LICENSE NO. BUILDING Li !1ct 't �1��1L�1� 7 GJ`i✓o�ec�� Class of work: RNEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE 0 REMOVE Describe work: ` = 4 CJ�LA-�ter, 0C, Lyt ir-4 ©PAN t�/1 c-� c�t�i.` t.lCe�4l N s1.1 — G I✓ Valuation of work:$ ✓ 17o. c1 PLAN CHECK FEE PERMIT FEE,3(�• e: SPECIAL CONDITIONS: '7 APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Type of Occupancy Const. Group Division At� __[ —-- — Size of Bldg. No.of Max. (Total)SQ. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT Special Approvals Required RleNwd Not Require I Certify that I am a currently registered contractor In the State DING of Washington and the County of Mason and I am aware cf the HEALTH CEPj% ordinance requirEments regulating the work fcr which the permit AKS Is Issued and all work done wi;l be in conformance therewith. 145AD DEF r. Firm ltik Lr7 By Lic. No. 7 Date 10 It Q OWNERS AFFIDAVIT — I certify that I am exempt from the requirements of the contract- or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. N O T I C E SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. rlWner Date THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH + (-' 5HELTON PRINTING CO.