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HomeMy WebLinkAboutBLD7997 Rec Room Addition - BLD Permit / Conditions - 1/11/1979 Short, Ken #7997 1-11-79 i Brook Point Tracts Lot 19 South Share approx. 2 1/2 miles past Twanoh St. Park Rec Room Addition Contractor Braussard Bros. Const. $10,250.00 1 r fqILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED 1— 1 1 — 7 9 PERMIT NO. / q OWNER NAM MAIL ADDRESS CITY&STATE ZIP P ONE xh DIRECTIONS TO JOB SITE �Q �- c (( © oj( LEGAL -/� (❑ SEE ATTACHED SHEET) DESCR CONTRACTOR MAIL ADD SS CITY&STATE LICENSE NO. PHONE USE OF AE BUILDING e. &zil Class of work: ❑ NEW ,2'A DITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Awl Valuation of work: $ PLAN CHECK FEE — o-O PERMIT FEES. 0-0 SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT I I NOTICE BATHROOMS TOTAL SO. FT. --0 GARAGE [] Li SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED OR AIR CONDITIONING. TOTAL SO. FT Z FIREPLACE ❑ DETACHED C 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 Zforma ce therewith. PERMANENT ! ] SHORELINES S,jC,j /��5 SEASONAL FLOODPLAIN iJ Firm J C/ E.D. NO. S.E.P.A. By _t 3 Special Approvals IN OUT YES APPROVED NO .Lic. N v�G��' �J �G �'De — ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. /vCt 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 conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLW CHECK BY APPROVED F05 IS UANCE Owner Date. B 01 N C CK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH �1 �O `` 1 (O O / -�1 ''--11 Qll i� t�1i✓ � � ft�A Q j v y a 14 w P i s✓ 0 7 C4 f L I, 78� ti