HomeMy WebLinkAboutBLD7863 Maintenance Building - COM Permit / Conditions - 11/30/1978 Weyerhauser Co. #7863
11-30-78
Portion of N 1/2 NE 1/4 21-23-1
Belfair Sorting Yard
Contractor
Tesco Cons t. , Inc.
Maintenance Building
Plumbing Permit
$26,000.00
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BUILDING PERMIT APPLICATION'7 -
MASON COUNTY P.O. Box 186 Shelton, Washington 98584 1zS4?114 016?0
426-5593 /'
DATE ISSUED zl/�Q z01
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PERMIT NO. /� %�3
OWNER ;;,) / NAME MAIL ADDRESS CITY4&STATE / ZIP PHONE
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DIRECTIONS
TO JOB SITELEGAL
I ,
DESCR � r;,"6 /1/ �� / q / �� (0 SEE ATTACHED SHEET)
n
AIL ADDRESS d AlITY&STATE LICENSE NO. PHONE
CONTRACTOR 173
3%_S� �)) e
USE OF I /�
BUILDING1 A-Y
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Class of work: ?(NEW ❑ ADDITION ❑ LTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. 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
confor nce therewith. PERMANENT ❑ SHORELINES ❑
v SEASONAL ❑ FLOODPLAIN
Firm
E.D. NO. S.E.P.A. ❑
By ? 7 Special Approvals IN OUT YES APPROVED N
Lic. No. 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
APPLICATION ACCEPTED BY PLAN$CHECK BY APPROVED FOR IS
Owner Date
PLAN CHECK VALIDATION CK. M.O. CASH / PERMIT VALIDATION CK. M.O. C
_"VHURSTON-MASON HEALTH DISTRICT PLEASE REPLY BY
P. O. BOX 746 1 10 WEST K STREET
SHELTON, WASHINGTON 98584 REGULAR AIR WIRE PHONE
PHONE (206) 426-4407 MAIL MAIL
TO yam' l a-^' J 4..... �s J-A1 5[JYZv....YAW DATE t'
� .......... SUBJECT V A lY f EWAII4wE._
,t_
la As_No
SIGNED
�s
RECIPIENT-Please sign and return pink copy