HomeMy WebLinkAboutBLD1730 Carport - BLD Permit / Conditions - 4/17/1975 Miller, James V. #1730
Route 3, Box 80 4-17-75
Belfair
Tract 7 of SW!,,, SE4, 20-23-1
Carport and Storage
$1, 116.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washington 98584
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DATE
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Applicant to complete numbered spaces only. J v"(J� 70 PERMIT NO. 173C N
JOB ADDR ESS U
1 LEEGAL SCR. TPA r • O /V/ ✓ /4 � c1, SFe 2v 7Z3N,2/w, w,m. (D.EE ATTACHED SHEET)
OWNER MAIL ADDRESS 7.IP PHONE
2 JAMES V, /1OLLEiE r 2r 3 BoX 8of 3ELFAli2 .10 98S2- C(?5
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
ARCHITECT O OR MAIL ADDRESS PHONE LICENSE NO.
4 ►10Vis
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 Q0 A/(;
LENDER MAIL ADDRESS BRANCH
6 ti()PC
USE OF BUILDING
2 OARI POPT -SPP_ AGE SHED
8 Class of work: NEW ❑ADDITION E7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9 Describe work: 441 OPEN 609 ePOP7 6L1 A_TTA_ Cf4C� CWCL CSF�D
S'tN c P -1� 097 OUIC-T OA/ eTXr -S. F-00AI �1�t7ON, S `�t crat a
D w A.6-3
10 Change of use from
Change of use to S7c = r r
i l Valuation of work: $ $1
O O i2y1V-1
/ 7720 d
PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: Type of Occupancy N
Const. Group Division
Size of Bldg. - il No.of Max.
(Total) Sq. Ft." Stories Occ. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY. PLANS CHECKED BY. APPROVED FOR ISSUANCE BY. Zone Zone Required Oyes ONO
No.
OFFSTREET PARKING SPACES:
.K/.�-✓'�.-� Dwellofing Units Covered Uncovered
N 0 T I C E Special Approvals Required Received Not Required
ZONING.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DE PT.
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I hereby certify that I have read and examined this application and
know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other state or
local law regulating construction or the performance of construction.
SIGN TUBE OF CONTRACTOR O AU TH OAARIZEDww AGENT 5/
%�� 301
.(�I-� (DIA T`E/)
IGNATURE F OWNER IF OWNER BUILDER (DATE)
PLAN CTMCK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
L/ SHELTON PRINTING CO