HomeMy WebLinkAboutBLD7930 Addition - BLD Permit / Conditions - 12/7/1977 Kuhn, Frank #7930
12-7-77
S 1/2 NW 1/4 SE 1/4 17-23-1
Storage Addition
$10,000.00
BUILDING PERMIT APPLICATION
MASON COUNTY 412
�/�/7�P.O. Box 186 Shelton, Washington 98584 /0 `"Z/D�/7
DATE ISSUED la/l /7 7
PERMIT NO. 7g3d
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP. PHONE
DIRECTIONS
TO JOB SITE 6�
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. 7I IA) 7 �f G
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
1 ) )
Valuation of work: $ /D ) r21 PLAN CHECK FEE PERMIT FEE
a
SPECIAL CONDITIONS:
1APPOCATIONACCEPTED16Y PLANS CHECK BY APP VED FOR I SUANCE Type of Occupancy Division
BY 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 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 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
�yJ`/LA �� SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
er ![[j /?�J Date, WORK IS COMMENCED.
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Ne M.O. CASH