HomeMy WebLinkAboutBLD4117 Carport - BLD Permit / Conditions - 12/15/1976r
Schgitt, Dean #4117
12-15-76
19 Springwood Dr., Shelton
Springwood Lot 19, Vol 9 Pg. 127 Plats
Contractor
Carport Robert Nutt
$1 ,008.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box IN Shelton Washington 985844� �
9 � J
DATEISSUED ! 7
PERMIT NO. 41,117
7
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
GL� c m t�f ' rIn oc� rlJ�
DIRECTIONS _
TO JOB SITE cj x o i
LEGAL EE TTACHED SHEET)
DESCR. C I o� 7
ZML MA DDRESS CITY 8 T T LICENSE NO. PHONE
CONTRACTOR2 O 2
p fl
USE OF
BUILDING CQ d D
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: ` r
1 Z con cr,4 e S is l 2 2 Car orb o v
Cam oc> 0IF
Valuation of work: $ PLAN CHECK FEE PERMIT FEE l/
SPECIAL CONDITIONS:
AP LICATION A PT,D BY PLANS CHECK BY APP D FOR IS UANCE Type of Occupancy Division
l� Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor In RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By i A D ROAD DEPT.
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner Date. WORK IS COMMENCED.
P AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH