HomeMy WebLinkAboutBLD2179 Final Storage and Garage - BLD Permit / Conditions - 6/29/1979 Ison, Gary #2179
5-18-78
Port N 1/2 NE 1/4 SW 1/4 21-23-1
On left just before the Mason Kitsap line.
Storage & Garage
$10,300.00
At -- o�<
t.-V-17,e
.e..6
oe<'
r
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATEISSUED n��/�/7�
21 Z/ ft >e PERMIT NO.
OWNER NAME &AIL ADDRESS &STATE ZIP PHONE
DIRECTIONS
TO JOB SITE 1C
LEGAL � L f
( E ATTACHED SHEE
DESCR. f� `;[//y i
NAME MIL ADDRESS CITY&STATE �.' LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ A ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ /vl�OQ PLAN CHECK FEE d-'a PERMIT FEE 5/
SPECIAL CONDITIONS: C�
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE 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. l�
Firm i PUBLIC WORKS
ROAD DEPT.
By
Lic. No. -2;` Q/•- /,Date 179
OWNERS AFFIDAVIT
1 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
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Ow.neerr Date. WORK IS COMMENCED.
V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
i
o�- 7i�e NOr779 4 G l�l- (/V Z) o-�
Or of fhe sOu 7`h tc��5 u�Ir r' �15 lay,
l�or�A l�a n l V,
To c,��Sh,p �3 , y C. Wesf � Al ►
EQs7e`r/ of the
7L e
y.. 91)
4
41
i
GJAI
For &J-1ldl'of perin,�,
l