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HomeMy WebLinkAboutBLD8891 Final Garage - BLD Permit / Conditions - 2/23/1976 Byerly, Claude #8891 2-23-76 Tract 22 of NW4, SEr, 9-23-1 Garage Contractor Jesfield Construction $2,500.00 i 3-9,T-76 BUILDING PERMIT APPLICATIO MASON COUNTY P. O. Box 100 Shelton, Washinqton 98584 DATE ISSUED PERMIT NO. MAIL ADDR EBS PHONE ..P_---_-- -- OWNER i ---- -- t DIRECTIONS TO JOB SITE Q ,r . /it�e� _ c u S Wes* 0 '( O I J e LEGAL MAIL ADDR 98r ZIP CISEE ATTACHED SHEET) •MAI A ESS PHONE CONTRACTOR r/ ir- USE OF MAIL ADDRESS ' PHONt LICENSE NO. BUILDING C 2� 3—D I 16—S Class of work: P(NEW ❑ADDITION ❑ALTERATION '❑ REPAIR ❑MOVE ❑ REMOVE Describe work: G's Z` 2- Valuation of work:$ �L1' PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY ['Size ype of Occupancy onst. Group Division SLLi%e lL 7/4 of Bldg. No.of Max. (Total)Sq.Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT Special Approval; Required Received Not Required I Certify that I am a currently registered contractor in the State MNING of Washington and the County of Mason and I am aware of the HEALTH DIMPT. ordinance requirements regulating the work for which the permit Kt! is Issued and all work done wi/l be in conformance therewith. DtlCPT, Firm Sc1•� lcL C o�n By — Lic. No. Date aA I Z 3_ o/'J-G SF- _H Z> Q-S — 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 N 0 T I C E County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. 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 Owner Date 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ,/PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH SHELTON PRINTING CO.