HomeMy WebLinkAboutBLD N/A Final Demo - BLD Permit / Conditions - 9/9/1981 ANDERSON, Clarance #N/A
E 8331 Hwy 106, Union 08-27-81
Approx. 3 miles, south of Alderbrook
Tract 12 of Govt Lot 2, 34-22-3
Demolish Duplex
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAI RESS CITY 8 S ATE ZIP PHONEb
DIRECTIONS 2*0
TO JOB SITE
LEGAL (CJ SEE ATTACHED SHEET)
DESCR. J Q
AME CONTRALTO MAIL ADDRESS CITY 8 STATE LICENSE NO.
)t� 10
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
Describe work
AX i k6-
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: _—�--
BEDROOMS {DECKS CARPORT C1 NOTICE
BATHROOMS (TOTAL SO. FT. _ GARAGE []
ATTACHED 'u' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED LJ
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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. PERMANE T SHORELIN
} �� SEASONAL I-1 FLOODPLA I I
Firm
E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT YES APPROVED NO
Lie. No — �5/�_Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I c tify that I am exempt from the requirements of the FIRE MARSHAL
c tract or registration law RCW 18.27, and am aware BUILDING DEPT.
o the Mason County ordinance requirements for
hich this permit is issued and that all work done will ROAD ACCESS
e in conformance therewith. MOTOR VEHICLE PERMIT
APPLIC TI A 4,71PTED BY PLANS CHECK BY APPROV O U NC
Wne __ Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH