HomeMy WebLinkAboutBLD9675 Carport Final - BLD Permit / Conditions - 3/24/1980 - Smith, R. L. - #9675
12-5-79
Portion S 1/2 SE 1/4 NE 1/4 17-23-1
1.2 miles west of Bear Creek on right
Carport
$1,690.00
12317 /v9oo6 y
BUILDING PERMIT APPLICATION
MASON COUNTY 12-�171�'l tZW
P.O. Box 186 Shelton, Washington 98584
� 426-5593 p
DATE ISSUED 1.2 —7i
PERMIT NO. 0(0 75'
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS /s
TO JOB SITE /� 7 r4C
LEGAL (❑ SEE ATTACHED SH T)
DESCR.
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
�- z .� T ;r i s �n "'
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
d d [�
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT U NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
NO. OF STORIES BASEMENT ElATTACHED [J SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ElDETACHED [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 IJ
SEASONAL [ I FLOODPLAIN 17
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in ywjormanc!_ViPrewlth. MOTOR VEHICLE PERMIT
AP LICATION ACCEPTED BY PLANS CHECK BY APPROVED F ISSUANCE
Owner Date-
r 7 ,
7
C
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH