HomeMy WebLinkAboutBLD4540 Final Garage - BLD Permit / Conditions - 6/23/1978 Stein, Robert L. #4540
3-31-77
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Ayock Baach Lot 16
16 Bayview Dr., Ayock Beach, Lilliwaup
Garage
3 575.00
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BUILDING PERMIT APPLICATION
MASON COUNTY _ /-
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED -9—rl 7 7
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PERMIT NO.
OWNER AME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL L (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
G f
USE OF
BUILDING
Class of work: EW A4KITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
�• a
Valuation of work: $ 7 PLAN CHECK FEE PERMIT FEE d"U
SPECIAL CONDITIONS: \
APPLICATION EPTED BY PLANS CHECK BY JAOf ROVED FOR ISSUANCE Type of Occupancy Division
ol Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I Certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be In Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owner6:24 Date. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH