HomeMy WebLinkAboutBLD9985 Storage - BLD Permit / Conditions - 8/23/1976 Martin, Elvin W. #9985
8-23-76
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Storage Shed
$500.00
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W BUILDING PERMIT APPLICATION
MASON .COUNTY /2 32OIZ 01/Zo
P.O. Box 186 Shelton, WashingtonC',-.46834
DATE ISSUED
PERMIT NO.
OWNER NAME . MAIL ADDRES CITY&STA ZIP PHONE
l 6j/ f al �;. � 3 �o K 37 _ i.c Y S=3ao C)
DIRECTIONS
TO JOB SITE p 17t;L, ®, O E� A�IC� ZC9�
CAD
LEGAL (❑ SEE ATTACHED SHE T)
NAME h1AIL DDRESS CITY'&STATE. LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE O REMOVE
Describe w
Valuation of work: $ '-3 O C� PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION AC EPTED BY, PLANS CHECK BY AP ROPED FOR ISSUANCE Type of Occupancy Division
Const. Group 1
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 ar,are 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
cnnformance therewith. ZONING
HEALTH DEPT. �-
irm PUBLIC WORKS
By ROAD DEPT.
Lic. Nr- ______- Date
OWNERS AFFIDAVIT
I certify t!-at 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 County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in CO formance taewit THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
'f SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Date S WORK IS COMMENCED.
PLAN :; LCs VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH —T