HomeMy WebLinkAboutBLD4714 Final Rec Room Addition - BLD Permit / Conditions - 4/3/1980 Hiser, Frank #4714
5-18-79
20-23-1 Tr. 15 N 1/2 NW 1/4 NE 1/4
Addition Contractor
Quality Remodeling
$6,300.00
T
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 /
426-5593
DATE ISSUED
PERMIT NO.
OWNER NA/ME ' MAIL O�pD ESS CITY&STATE ZIP PHONES
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DIRECTIONS
TO JOB SITE C( � �, !•�
LEGAL (❑SEE ATTACHED SHEET)
DESCR.
CONTRAC TO R NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
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N M
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $wl� ) PLAN CHECK FEE u PERMIT FEES
SPECIAL CONDITIONS: /l�
BEDROOMS DECKS CARPORT [J NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED C1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE IJ 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 1 1 SHORELINES I
SEASONAL U FLOODPLAIN L
Firm E.D. NO. S.E.P.A. ❑
By !� Special Approvals IN OUT YES APPROVED NO
Li XNo. 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 conformance therewith. MOTOR VEHICLE PERMIT
Owner Date
APPLICATION ACCEPTED BY PLA CK BY AP OVED F I UANCE
1 . B �
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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oId APPROVED
-� MASON BUILDING INSPECTOR
CH f'GES SUBJECT 10 APPROVAL