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HomeMy WebLinkAboutBLD11597 Final Roof, Siding, Repair - BLD Permit / Conditions - 6/29/1982 Eric's Food Company r #11597 10/16/81 29-23-1, Tract 8A of NE of SE (Jim R. Cady) Belfair, Roof, Siding, Repair Contractor: Darryl 1 Erickson $3,000.00 Shorelines:` Setback: Special Conditions: Footing: Setback: Foundation Walls : Framing: Fireplace: Wrod Stove: Plumbing:, Mechanical: R'6 o f: Exterior: Interior: Fina1:d Stop Work: Mobile Home Remarks: NUDING PERMIT APPLICATION t MASON COUNTY /00� l P.O. Box 186 Shelton, Washington 98584 426-5593 _ DATE ISSUED PERMIT NO. 11,517 NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER jr p�Gi -I �C`/��..I ti V��� r�i. � ti a Asa DIRECTIONS TO JOB SITE ����c„� +� W LEGAL (❑ SEE ATTACHED SHEET) 1✓►'� DESCR. CONTRACTOR NAME MAIL ADDRESSU CITY&STATE LICENSE NO. PHONY /- 0 G,(� I P'/-'_i--/ J..1 Say C.i.! USE OF BUILDING F013Gt Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE Describe work: / /Lf f-"F1 U Valuation of work: $ '3 o � PLAN CHECK FEE �!/ PERMIT F�E�� SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS I TOTAL SQ. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES I BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING. TOTAL SC FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME 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 ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT 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. C� d C- a, V APPLICATION ACCEPTEDBY PLANS CHECK BY APPROVED FOR ISSUANCE Owner. CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH "\1