HomeMy WebLinkAboutBLD61 Pump House Final - BLD Permit / Conditions - 9/25/1979 - Smith, Robert L. #61
8-2-79
17-23-1 Portion Sk SEk NEk
Old Belfair Highway
Pump House and Storage
$501.00
/Z3171V(?6V6Y
BUILDING PERMIT APPLICATION
�- MASON COUNTY 12.3171W Z6V
P.O. Box 186 Shelton, Washington 98584
� 426-5593 c G
DATE ISSUED a ';�2' 7
PERMIT NO. CD
OWNER N ME MAIL ADDRESS CITY&STATE / ZIP PHONE
S� ��� C> flT< sr'7/
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ,k,NEW ❑ ADDITION ❑ ALTERA N ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
G/ py, 4,S ell
Valuation of work: $ �-�` PLAN CHECK FEE PERMIT FEE t�
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [I ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
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 U
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
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
conformance th rewith. MOTOR VEHICLE PERMIT
(CATION ACCEPTED BY PLANS CHECK BY APP VED OR ISSUANCE
Own., Date.— .,
79
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH