HomeMy WebLinkAboutBLD2306 Shed - BLD Application - 6/2/1978 BUILDING PERMIT A PPL ICA TION72°
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 1�Z°2/76F
PERMIT NO. �a�
VNER ,ME MAIL ADDRESS CITY&STATE r ZIP PHONE
t ,+ C a .2 C
IECTIONS
JOB SITE
GAL (❑ SEE ATTACHED SHEET)
:SCR. T;:Rc i 3 �S' S�" �" 9- 3- /
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
iNTRACTOR
IE OF
JILDING
ass of work: XNEW YADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
(scribe work: /'
0A- S/7 U/e CD viS/
luation of work: $ PLAN CHECK FEE PERMIT FEE tx
d Qi i
SPECIAL CONDITIONS:
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LICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group /
lze 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.
Firm PUBLIC WORKS
ROAD DEPT.
By
Lic. No. Date
OWNERS AFFIDAVIT
I 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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for 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
OVjner Date. !/ WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION `CK. O. CASH ,