HomeMy WebLinkAboutBLD2013-00992 Heat Pump - BLD Permit / Conditions - 11/12/2013 (2) Linder, Greg #5675
8-2-77
Vacated 3rd Street , Seattle St. & Alley adj .
Blk 48, Lots 50-53 Plat of Union.
Red house on right at 3rd street below fire hall.
Garage, shop & storage
$4,966.00
1 1 i
BUILDING PERMIT APPLICATION
MASON COUNTY
z32s 3 0) 0
P.O. Box 186 Shelton, Washington 98584 /
DATE ISSUED �/ �� 11717
PERMIT NO. 7`5'
OWNER NAME _ MAIL ADDRESS CITY&STATE ZIP PHONE
ZAW
DIRECTIONS
TO JOB SITE fF 0A1y1 JA/
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. am
CONTRACTOR NAME MAIL ADDRESS CITY 8 ST E L CEN E NO. PHONE
`
USE OF
BUILDING ��� — 5&010, f r"'4 'g�,4f
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Lv NFL ritvLrvl'E CF r &0L,-1VjM T/
Valuation of work: $ PLAN CHECK FEE �p PERMIT FEE
`?6; � v v �� /� � 2-
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPf10VED FOR ISSUANCE Type Occupancy Division
> / BY � Const�1� Group
J
Size of Bldg. No. of Max.
(Total) Sq. Ft. 76!� Storles / 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 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
� 2 �l SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner�!*"'Y �°'f'r 2 Date, / WORK IS COMMENCED.
OLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION A C K.,I M.O. CASH