HomeMy WebLinkAboutBLD8919 Carport - BLD Permit / Conditions - 3/2/1976 Henningsen, R. W. #8919
3-2-76
Tract 5 of NW4, SE4, 29-23-1
Carport
$1,820.00
/9 �U ���
BUILDING PERMIT APPLICATION
MASON COUNT
P. 0. Box 400 Shelton, Washinqton 98584
DATE ISSUED
PERMIT NO.
—_T_ ---_ - MAIL ADDRESS ------ "---ZIP PHONE --
OWNER; Henningsen, R. W. St. Rt . 2 Box 11,Belfair-, WA 98528 275-2089
DIRECTIONS
TO JOB SITE
LEGAL MAIL AD RESS ilp
(❑SEE ATTACHED SHEET)
DESCR.
•MAIL ADDRESS PHONE
CONTRACTOR
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING Cc;F o e t
Class of work: MEW ❑ADDITION ❑ALTERATION `❑ REPAIR ❑MOVE ❑ REMOVE
Describe Work: 1 ,�
a✓'o vrs N o2 �1 2 6 Cg h��r T c��?D ,s o. !�7d rr _T, 5-6 - l 8':2 0
Valuation of work:$ O .2 0 U 0 PLAN CHECK FEE PERMIT FEE !P if"a p
SPECIAL CONDITIONS: L J /
Woi^F Or �11 eo Py'JO/' to 17 Gl
_ONGIP �C'P /&��,
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type of Occupancy
Const. Group � Division
_._.._ Size of Bldg. No.of Max.
(Total)Sq. Ft.\�5 (� Stories / Occ. Load
CONTRACTOR AFFIDAVIT Spacial Approvals Required Received Not Require
I Certify that I am a currently registered contractor In the State
of Washington and the County of Mason and I am aware of the MEAL'TH DMPT.
ordinance requirements regulating the work for which the permit P0 Lid W5RRG
Is Issued and all work done will be in conformance therewith. AD DEPT,
Firm
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract.
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit Is issued
and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
Owner �,:Rate 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
--�-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
✓ SHELTON PRINTING CO.