HomeMy WebLinkAboutBLD9427 Siding on Drug Store - BLD Permit / Conditions - 5/28/1976 Pope, Alice #9427
V� 5-28-76
Tract 17 of. NW4j SE4, 29-23-1 Contractor:
Jesfield Construction
Siding on Drug Store
$1 , 150.00
Pi., BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED -5--22
PERMIT NO. (2-A2 7
E MAIL ADDRESS CPIZP STATE ZIP PHONE
OWNER / C P ��' O
DIRECTIONS
TO JOB SITE Pe- /✓`✓c d!
LEGAL cL" � (❑SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
h USE OF � 5-1/1 6.�`7`
BUILDING Z� c''`C
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION EPAIR ❑ MOVE ❑ REMOVE
Describe work: `
Valuation of work: $ 1 0 PLAN CHECK FEE ERMIT FEE
!/ i'`-- A
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BYl PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY Const. ' Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. J�� 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
'1 rr _ HEALTH DEPT.
Firm e s d: , ��5 �. PUBLIC WORKS
By
Q,�) ROAD DEPT.
Lic. No.' �-S F� �}- �193 - Date �7
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
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
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
Owner Date. WORK IS COMMENCED.
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK' M.O. CASH