HomeMy WebLinkAboutBLD9617 Mobile Office - COM Permit / Conditions - 3/21/1978 Weyerhaeuser Company #9617
3-21-78
NE 1/4 21-23-1
Mobile Office & lunchroom
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED — �f /7'�
PERMIT NO.
OWNER N ME MAIL ADDRESS CITY&ST TE ZIP PHONE
F+Q 4AEi-Kc � ratios �.� �pL ac�-b W4 9 S,37 5 -7//
DIRECTIONS
TO JOB SITE /Vd2TN'6gST dF II�AfC �� HC N Q /LCS /IFC?r/y�'✓ i✓9i'��
LEGAL �� (❑SEE ATTACHED SHEET)
DESCR. N� �CCr bAl .Z/ Q
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF W<740 .3--swe
BUILDING -l- C� ^rI �CU/1�C�000�/ 1rp< 4D10 5�IeD /IAOS,- sc'ucs Foe A-k"Cjfidd <vcs
Class of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
/ L1O✓<- /N /Z�X 6a ! 7-k4lkC--e- 64/ "70QC/09T/0V
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Valuation of work: $ �/�O PLAN CHECK FEE PERMIT FEE ®I &-0
SPECIAL CONDITIONS: +G�
APPLICATION ACCEPTED BY PLANS CHECK BY AP ROVED FOR ISSUANCE Type of �s .� Occupancy Division
B Const. /���C"�e''� Group
C s L -fc LX441C
Size of Bldg. 7 ZC) 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 aware of the MOBILE HOME X
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,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be In conform a therewith. 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
Owe Date. ' WORK IS COMMENCED.
A V
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PkAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION kk CK. M.O. CASH