HomeMy WebLinkAboutBLD8500 SFR - BLD Permit / Conditions - 9/17/1975 Waite Construction #8500
• 9-17-75
Springwood, Lot #14
Residence
$23,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P. 0. Bose 400 Sheltori, Washinqton 9858.1
DATE ISSUED
PERMIT NO. bk�OD
---T— ---- _�— MAIL ADDRESS------------- _---ZIP -- --- PHONE —
OWNER
DIRECTIONSJIIAl ,TO 10B SITE L—`-a Ste^ Li
LEGAL MAIL ADDRESS 21P C]SEE ATTACHED SHEET)
DESCR. L r �_1
MAIL ADDRESS PHONF
-CONTRACTOR // � y� �1 P /✓ -,)-If W� I.r� � 'y S VC' —<�
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
F/J'T 1 A
it Class of work: ]NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE O REMOVE
Describe work:
T - C IE
—Valuation of work: $ PLAN CHECK FEE PERMIT FEE
I cy ,
SPLCIAL cONOITiONS.
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type of Occupancy
Const. y Group Division
4 .GvY r c
-- —— Size of Bldg. No.of Max.
(Total)Sq. Ft. i� cry Stories Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor in the State Zo_ D
of Washington and the County of Mason and I am aware of the HEALTH DEPT. �s
ordinance requirements regulating the work fcr which the permit PUMLIC WWWcs
Is issued and all work done wi;l be in conformance therewith. DILPT,
Firm L jj c
By —
Lic. No. Date r-
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 he in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
Owner 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
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SHCLTON PRINTING CO.