HomeMy WebLinkAboutBLD2130 Enclosed Porch - BLD Application - 5/4/1978 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED/�`/7e
/z3m/ / PERMIT NO.
OWNER NAME MAIL ADD SS 11 CITY 8 TE ZIP PHONE
DIRECTIONS
TO JOB SITE LI�
LEGAL / / SEE ATTACHED SHEET)
DESCR. 9-sr-2c3 '� �iei �� /v�2� t/E' 41
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
1 4��
Class of work: ❑ NEW El-ADDITION �LALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
/+v C,la 5 — 42 A N
Valuation of work: $ 600. PLAN CHECK FEE PERMIT FEE / • o-d
SPECIAL CONDITIONS: �O
APPLICATION ACCEPTED BY PLANS CHECK BY AP OVED FOR ISSUANCE Type of Occupancy Division
14-1 8 - � Const. Group
Size of Bldg. /'1 No. of Max.
(Total) Sq. Ft.l,)v 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 REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
whic is permit is issued and that all work done will
b n c nforma there h. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
S _�.-7-8—
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
W O a Date. / / WORK IS COMMENCED.
P N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. tCASH