HomeMy WebLinkAboutBLD172 Rec Room - BLD Permit / Conditions - 8/16/1979 Gunn, W. #172
8-16-79
20&21-23-1 Tr. 13 E' NE- & A NWk
2nd Driveway on left on old Belfair Hwy.
Rt. 3 Box 30 Belfair.
Rec . Room Contractor
Jack Frost Const.
$6, 000. 00
1,51;, 39q -
*. BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED 7 7
PERMIT NO. 7�
OWNER E MAIL r R CITY& 4 ZIP PHONE
DIRECTIONS
TO JOB SITE 09d11 Q .
LEGAL ' l VISE!E�ATT HED SHEET)
DESCR. jlO��l— —f � �� /lf/OF1/4( ' �
NAME MAIL ADDRESS, CITY&STATE LICENSE NO. PHONE
CONTRACTOR r�
USE OF
BUILDING
Class of work: ❑ NEW ADDITION $•ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE�•, C�
61
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L; NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ 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
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
Firm J '� 5
SEASONAL [] FLOODPLAIN fJ
�� �2oS� �� � •
_ /W� E.D. NO. _ S.E.P.A. ❑
By 1f+ � Special Approvals IN OUT YES APPROVED NO
Lic. No. 4R _ C k ' � s l A8te /a 7 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
Date. LIGATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
,per �
oe
i
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH