HomeMy WebLinkAboutBLD9391 Carport and Storage - BLD Permit / Conditions - 10/9/1979 Leitch, M. R. #9391
10-9-79
Lots 37 - 40 Blk 51 Plat of Union
SR 106 to Union, up hill to 5th Street
Carport & Storage
$1,080.00
ZZ
• BUILDING PERMIT APPLICATION
f MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 3ZZ3Z S 03-7
426-5593
DATE ISSUED �d — Z 7
// �
PERMIT NO. `Z'qe?-1
OWNER NA E MAIL DDRESS CITY&STATE ZIP PHONE
1sI iokl t�►� 8 1 scie- ti 3
DIRECTIONS 1_ '.p
TO JOB SITE S p tt$kp -lib � S�—
LEGAL f, (❑ SEE ATTACHED SHEET)
DESCR. �r-S � 40 it S I P14r " d1�ICIA
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF T
BUILDING rr S*b 2. sLJ
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
U IT
Valuation of work: $ p /, OO Q PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [ ]
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT 6 FIREPLACE Ll DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT i i SHORELINES i
SEASONAL [! FLOODPLAIN L;
Firm E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in confor nce therewith. MOTOR VEHICLE PERMIT
6PPNCATION ACCEPTED BY PLANS CHECK BY AP ROVED FOR ISSUANCE
Owner Date .ID -'1-Ick /f
HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH