HomeMy WebLinkAboutBLD8525 Garage - BLD Permit / Conditions - 9/25/1975 Sande, Orrin R. 8525
9-25-75
Lot 18 Madrona Morningside Beach
Garage
$2500.
BUILDING PERMIT APPLICATION
MASON COUNTY
P. ®. Box 400 Shelton, Washinqton 98594
DATE ISSUED
3�M3D6�Z
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OWNER MAIL ADDRESS ZIP N[� —,2
i
DIRECTIONS I
TO JOB SITE1/3 At 1 kl�5 �/t/��__ O� �y�c/� ✓�/T�.r'F /"y,dL
LEGAL M/AIL ADDRL!! ZIP / ![[ATTACN[D !N[[T) p 1�
31 /�� /S !/� /�{/�/2
MAIL ADDRESS PHONE
CONTRACTOR
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: 9-NfW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE
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Describe work: f�v ) ) �a '4 6
L I�
1 Valuation of work:$ /�—
L 0 PLAN CHECK FEE PERMIT FEE
CiCIJT��✓ � o�
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPP�[ROVED FOR ISSUANCE BY
Tope -_r- Occupancy
� Const. :b- Group � Division
-------- Size of Bldg. No.of Max.
(Total)Sq. Ft. S .'� Stories Occ. Load
CONTRACTOR AFFIDAVIT Special Approval[ Required Received Not Raquire
I Certify that I am a currently registered contractor in the State NINit9
of Washington and the County of Mason and I am aware cf the HEALTH DEPT,
ordinance requirements regulating the wclk fcr which the permit POOLIC WdRKS r
is issued and all work done wi;i be in conformance therewith. AOXID DILFaT.
Firm
By —
Lic. No. Date
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 be in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
Owner Date �J!j 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
V� SHGLTON PRINTING CO.