HomeMy WebLinkAboutBLD9804 Remodel - BLD Permit / Conditions - 1/25/1980 Jones; Donovan A. #9804
1-25-80
20&21-23-1 Tr. 42 E 1/2 NE & W 1/2 NW
1st left off Newkirk Road, go 1 blk turn right, 2nd
house on right.
Alteration (Change carport to garage) (Plus wood
heater)
$21454.00
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BUILDING PERMIT APPLICATION
MASON COUNTY (�//
P.O. Box 186 Shelton, Washington 98584 9
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426-5593
DATE ISSUED 445—�ed
PERMIT NO. 9ra 7'
OWNER NAME / MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS ST 1
TO JOB SITE a/V /1/ez,),4ii-.E /�d, —90 / 6/0rk., ta�'-ri seconat house Ord rcy�t
LEGAL ,/ (❑ SEE ATTACHED SHEET)
DESCR. O�O oC/ o2c3— ��?/ N �L
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING �1a,'a e�
Class of work: ❑ NEW ❑ ADDITION (,ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS___ DECKS CARPORT f I NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE I J
ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I 1 OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE CJ DETACHED LJ
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
the permit is issued and all work done will be in
conformance therewith. PERMANENT 1 1 SHORELINES ;
SEASONAL f I FLOODPLAIN [i
Firm
E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED 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.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
OwneJ • Date.�� A��d O ICATION A CEPT D BY PLANS CHECK BY APDROVEDOR IS UA�JCE
V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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