HomeMy WebLinkAboutBLD8416 Final Garage and Storage - BLD Permit / Conditions - 9/2/1975r
Hoglund, Hugo #8416
9-2-75
Tract.28, G. L. 4, 26-22-3 (Oug-0
(Star Route 2, Box 681 , Belfair)
Garage and Storage
$12,500.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
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DATE 0
2�0 �/� �C!�
Applicant to complete numbered spaces only 3, PERMIT NO..
u
JOB ADDRESS
LEGAL ( 9EE ATTACHED SHEET)
1 DESCIR 126— . LA / r
OWNER MAIL ADDRESS ZIP PHONE L
2 o 110 c-4U AID s2rdg 662 &X 6 l ye&ue 2 75- 2 j
ONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 r 3�7 ? � 2
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. r'
4N
ENGINEER MAIL ADDRESS PHONE LICENSE NO. \'
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
8 Class of work: NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9 Describe work: 11
.� 7� �. c G C C'Yk LV s�� Yd u vt
10 Change of use from
Change of use to
11 Valuation of work: $ / �C s�—Q .�� PLAN CHECK FEE PERMIT FEE i/.-A7!
SPECIAL CONDITIONS: Type of Occupancy /
Const. Group Division
Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY. PLANS CHECKED BY: APPROVED FOR JSSIJANCE BY. Zone Zone Required ❑Yes ❑No
'et E�/_' No.of
OFFSTREET PARKING SPACES:
CCC..111 � G
Z7 Dwelling Units Covered Uncovered
N 0 T I C E Special Approvals Required Received Not Required
ZONING
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT.
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- OTHER (Soeelfy)
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I hereby certify that I have read and examined this application and
know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether
Specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisionS of any other state or
local w regulatin onstruction or the performan of construction.
SI6NATUR O ON TRAC TOR 6%T..FIU AGENT (DATE)
SIGNATURE OF OWNER IF OWNER BUILDER (DATE)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
SHELTON PRINTING GO.