HomeMy WebLinkAboutBLD9282 Repair Carport - BLD Permit / Conditions - 9/26/1979 Rubiaco, Fred #9282
9-26-79
Tract 5, NE4, S MIMM
Repair Damage to Carport Bell's Repair
$1, 838.38
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BUILDING PERMIT APPLICATION lq
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 9 —?4 -✓�-7
2
PERMIT NO. !91-24K2
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑SEE ATTACHED SHEET)
DESCR. —�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING Z�n +G fl�c L lc�kT
Class of wor : ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE Cl REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS----__ DECKS_ CARPORT i i NOTICE
BATHROOMS__ TOTAL SO. FT. GARAGE ❑
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATII
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED IJ
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZI
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTI
I certify that I am a currently registered Contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT i i SHORELINES ❑
SEASONALIi FLOODPLAIN ❑
Firm
E.D. NQ__ ___ _ S.E.P.A. ❑
gY i Special Approvals IN OUT YES APPROVED NO
Llc. No. d�,Q /`/Z 23-2 Date le5 7 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in Conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPR2YED FOR ISSUAN
Owner Date . BY
PL/A CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. O CAS