HomeMy WebLinkAboutBLD9685 Shop and Storage - BLD Application - 12/7/1979 BUILDING PERMIT APPLICATION w&4hi4o- s; -Affew")
MASON COUNTY 'd 0-4 &-Ar- 7
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&ST ZIP PHONE
F -A 3 Fz i s saw 7 s
DIRECTIONS , _
TO JOB SITE Z� �, � 0-fn,4
LEGAL ��`` r� / (❑ SEE ATTACHED SHEET)
DESCR. �Y.� b o� 3 tUm �r_CK 5 N E S !&-
CONTRACTOR
ME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF �l:f
BUILDING
Class of work: ❑44 EW ❑ ADDITION ❑ ALTERATIOWJ ❑ REPAIR MOVE ❑ REMOVE
Describe work:
Valuation of work: $ IV #LAN CjtCK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE C,
ATTACHED f] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT i OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE IJ DETACHED I_'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
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 SHORELINES I
SEASONAL f I FLOODPLAIN i
Firm E.D. NO. S.E.P.A. I i
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date 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
944'-41",
' conformance the ith. MOTOR VEHICLE PERMIT
APPLICATION ACC TED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Ownerto. o� BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH