HomeMy WebLinkAboutBLD5162 Garage - BLD Permit / Conditions - 11/1/1976 Brabant, H. J . #5162
II-1-76
Riverhill Estates Tr. 16-S
First Rd. to left off Newkirk Rd.
Garage
$5,616.00
it .f-�76
BUILDING PERMIT APPLICATION `
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 7
PERMIT NO. 2—
OWNER NAME AIL ADD SS CITY&STATE ZIP PHONE
i'rr L,f ,f 0. 3 7 lt.,/G. o2 — 2 3
DIRECTIONS
TO JOB SITES j �Do p tit iY//� C' nid �l� - �•� `F
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 7-ttC '/� S O
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
N
USE OF BUILDING ive�� S IO - V�r,',r,
Class of work: W NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
co Al G /C ' /G p T !e,/ d CO-G 1-0
Ali
J
Valug*on of work: $ _ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
ICATION CE`lPTED BY PLANS CHECK BY JAPP ED FOR ISUANCE Type of Occupancy Division
�L�LEL 81� Ci C, Const. Group
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 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 0 T I C E
contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance 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
Owner Date- Z " - WORK IS COMMENCED.
P A CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH