HomeMy WebLinkAboutBLD4097 Storage Shed - BLD Permit / Conditions - 12/8/1976 Shawver, H. Pete #4097
12-8-76
18-20-4' Tr. 7 NE NE
Dayton, By railroad near substation
Storage Shed
$2,016.00
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BUILDING PERMIT APPLICATION
' ,MASON COUNTY
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P.O. Box 186 Shelton, Washington 98584
DATE ISSUED f 7�
GU � PERMIT NO. Og
NAME MAI ADDRESS CITY&STATE ZIP PHONE
OWNERDfL�O.v,
DIRECTI NS
TO JOB SITE
LEGAL —
CONTRACTOR (❑ SEE ATTACHED SHEET)
DESCR. IX 02 Q ' �/Z 7 /LOLL lb' ,I;
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
S�Lr
USE OF
BUILDING 5 0 �_,4-
Class of work: ,X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
C. �r
Valuation of work: $ D PLAN CHECK FEE PERMIT FEE �)
SPECIAL CONDITIONS:
ICATION CEPTED BY PLANS CHECK BY APPRNED FOR 1124LIANCE Type of Occupancy Division
BY Const. Group
Size of Bldg. No. of Max.
(Total) Sq. FtS7( 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
ROAD DEPT.
Lic. No. Date
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 Count ordinance requirements for SEPARATE PERMITS ARE REQUIRED NG. FOR ELECTRICAL, PLUMBING, HEATING,
y q VENTILATING OR AIR CONDITIONING.
which this per 's issued and that all work done will
be in pQnfor therewith. �� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
'f IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
w �f Date� � g SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
WneF _ WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ( CK. M.O. CASH
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