HomeMy WebLinkAboutBLD9552 Machine Shed - BLD Permit / Conditions - 6/16/1976 Huson,- John #9552
6-16-76
Tract D, SZ NW4 SEµ, 20-22-1
Machine Shed
$3,600.00
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•,rE. BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
1 ^ _ LI l_ `[� (\ DATE ISSUED
PERMIT NO. g33�
OWNER NAME MAIL ADDRESS / CITY 8 STATE ZIP PHONE
DIRECTIONS d T 1 i � /� r �' � lJ
TO JOB SITE e A �a `c'� °� C_ n+ � // o /^ r c.� 2 W.
LEGAL / t �r' pH C d 44c S Z Of'OU).(q EATTACSEDR }1�E� ��
DESCR. 9►Ccc a e Sl►o�-� 7Z ��N ' 0 J� O mac. L-Z7
NAME MAIL ADDRESS CITY 3 STATE LICENSE No. PHONE
CONTRACTOR ^� r —� / �?0.
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USE OF ..
TSL c
BUILDING a`C ty� 5 e o c) C- k , y k. d112
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: !/
_ d — o� d ,peo G on5 / �C�e f. a w•Te'"� �KkSS GS
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
w 0 0
SPECIAL CONDITIONS:
APPLI ATIO A CEPTED BY, PLANS CHECK BY APPROVED FOR.JSSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. 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
-\ — , -, / I d -/ HEALTH DEPT.
Firm v rsv' [d °�/' PUBLIC WORKS
By �h � w.. Tr t 'C /J ROAD DEPT.
Lic. No.y r= 'SIII TT- i7 Q T 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 Count ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
y q VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. 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 Date WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH