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HomeMy WebLinkAboutBLD11447 Carport - BLD Permit / Conditions - 9/18/1981 Schatz, Glen #11447 9/18/81 Madrona Morningside Beach, Trs. , 52, 53 & 54 Rt. 2, Box 720, Belfair Carport $2,000.00 �+ # BUILDING PERMIT APPLICATION } MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 9 b c/z/ DATE ISSUED / PERMIT NO. l / ` ,2 OWNER NAME MAIL ADD CI 8 STATE ZIP PHONE cl- DIRECTIONS TO JOB SITE LEGAL ,/y) /gyp / EE ATTACHED SHEET) DESCR. /i/ o /9 d /1/1I�4`S�/�� 46 -4 e-b- NAME MAIL ADDRESS, CITY 8 STATE LICENSE NO. PHONES CONTRACTOR tei/o 1?'M C/t Z Z Crcle..4'4 y 27 sIle USE OF BUILDING Class of work: -.4&"EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ n oo �. PLAN CHECK FEE PERMIT FEE r S`p ! SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE 11 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ 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. Ill the State of Washington and I am aware of the ordinance requirements regulating the work for which FOR OFFICE USE ONLY the permit is issued and all work done will be in conf rmance therewith. PERMANENT SHORELINES 11 yin/.—X I Y/ SEASONAL [', FLOODPLAIN Ll Firm /"�`� /� I E.D. NO. S.E.P.A. [_] 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT PPLI ATION AC TED Y PLANS CHECK BY A OVED FOR SUANCE Owner Date . 44 P N C K VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH