HomeMy WebLinkAboutBLD9779 Final Sign - BLD Permit / Conditions - 10/9/1980 Dominguez, Louis #9779
1-18-80
S 16 acres of NW 1/4 SE 1/4 29-23-1
Divinos Restaurant Belfair Shopping Center
Sign
$600.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
/CJJ'3Z5 V 6/�616 PERMIT NO. 97 /
OWNER NAME MAIL ADDRESS CI &STATE ZIP PHONE
DIRECTIONS
TO JOB SITE ft/!N5 rc-
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. S �� g �l
NAME 64AIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR 40- V Z
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Ar 7`- i a .v o N c-e
Describe work:
I 2 / Loce rc3 /NNE l6 IU
7`E o iU a
Valuation of work: $OV, ei PLAN CHECK FEE l� PERMIT FEE C
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT I NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE L 1
ATTACHED LI SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 li
the permit is issued and all work done will be in
conformance therewith. PERMANENT F] SHORELINES I
SEASONAL I � FLOODPLAIN I
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROV D NO
Lic. No. Date 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
of the Mason County ordinance requirements for BUILDING DEPT. / — `� 0 0
which this permit is issued and that all work done will ROAD ACCESS
be in conforms e h rewith. MOTOR VEHICLE PERMIT
D �C, LIGATION CEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. ���� BY
V
PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.O. CASH