HomeMy WebLinkAboutBLD9419 Final Carport - BLD Permit / Conditions - 11/24/1976 Sharp, Paul E. #9419
5-28-76
Tract 16-A, W2, SEµ, 9-23-1
Carport
$800.00
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BUILDING PERMIT APPLICATION
MASON COUNTY /Z26�
P.O. Box 186 Shelton, Washington 88584 p
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS -70 P�
TO JOB SITE T T
LEGAL -� (0 SEE ATTACHED SHEET)
CONTRACTOR NAME MAIL ADDRESS CITY&F'i\TE LICENSE NO. PHONE
.S ^ L
USE OF
BUILDING
Class of work: ❑ NEW ADDITION t ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: </
/V
to a
Valuation of work: $ �DD PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: .��...��..�...e���..
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE] Type of Occupancy Division
BY -3� Const. It Group
Size of Bldg. No. of / Max.
(Total) Sq. Ft. a Y P Stories ( Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
1 certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am ev,are 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.
=irm PUBLIC WORKS
ROAD DEPT.
i_ic. Nr,. Date
OWNERS AFFIDAVIT
I certif>> 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 VENTILATE PERMITS ARE REOI FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewlt 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
-
Owner -Z:P�4 {. --- _.Date .J WORK IS COMMENCED.
Ul, HLC:, VALIDATION CK M.O. CASH PERMIT VALIDATION CIK M.O. CASH