HomeMy WebLinkAboutBLD9385 Basement and Foundation - BLD Permit / Conditions - 5/24/1976 Whitman, Dann F. #9385
5-24-76
NEµ, NEµ, 20-23-1
Basement and Foundation
$4,464.00
16*
BUILDING PERMIT A P ICA T1O
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED /
PERMIT NO. `� %>Y�
OWNER NAME MAIL ADDRESS CITY 3 STAT ZIP PHONE
DIRECTIONS
TO JOB SITE , ��`eLJ& A kxWoor or \A ' i C Y L
LEGAL t E ATTAC D SHEET)
DESCR.
CONTRACTOR M_V
MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
USE OF
BUILDING f�S t-i cr
Class of work: VNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVEv ❑ REMOVE
Describe work: r
��—
Valuation of work: $ + PLAN CHECK FEE PERMIT FEE?2
SPECIAL CONDITIONS: 1
APPLICATION IhCC P ED_B_Y PLANS CHECK BY APPROVED F R SSU CE Type of Occupancy Division
J i Y Const. Group
ze of Bldg. No. of Max.
( otal) 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 aware 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
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that 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 REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
which VENTILATING OR AIR CONDITIONING.
permit Is ued and that all work done will
be in c nformanc t rewlth. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owner Date.✓✓✓ ��� 111 WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH S1fC �P��ova f;PERMIT VALIDATION CK. M.O. CASH