HomeMy WebLinkAboutBLD9741 Final Roof - BLD Permit / Conditions - 11/21/1980 Nelson, Herman H. #9741
12-31-79
Tr. 5 NW SE 9-23-1
Belfair Area Bear Creek - Across from Fire Station
Roof Contractor
Sears Roebuck
$1,950.00
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BUILDING PERMIT APPLICATION
MASON COUNTY /2 ��2a��w
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED //42 -Lg/—79
PERMIT NO. 9 7 /
NAME MAIL ADDRESS CITY 8 TATE ZIP PHONE
OWNER C�M ,2 X 10 Z - c
DIRECTIONS I c
TO JOB SITE &LynjR fl jE;9 _JJEA p /!2E S TAT�O�
LEGAL (❑ S E ATTACHED SHEET)
DESCR. t, IV ty; s 14 SeC 9 7-LVP. 23 N R If W War i
NAME M IL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
Bg E1T1,� ON
USE OF
BUILDING ES i bF—N-1 1A L_
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
-rR i P t+- G rn.E f" S 11/0 N
Valuation of work: $ 1�� Q PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: '
BEDROOMS DECKS CARPORT I� NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [
ATTACHED [' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE f 1 DETACHED L
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
L SEASONAL I I FLOODPLAIN I
Firm E.D. NO. S.E.P.A. 1
fff 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
9 ICATION ACCEPTED BY PLANS CHECK BY APPROVED FORNSSUANCE
Owner Date. C.:" 1
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CAS