HomeMy WebLinkAboutBLD6227 Final Repair SFR - BLD Permit / Conditions - 12/17/1980 Rinker, Rhio #6227
4-21-80
Sec. 29, T. 23, R.1, Tr. 8, N.W. , S.E.
1/4 mile on No. shore road on Left
Contractor
Repair Residence Berger Construction
$501.00 ����� ��2 _000�
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�. BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. �aa
OWNER NAME L
e AIL ADDRESS CITY STATE ZIP PHONE
,5
DIRECTIONS ^�
TO JOB SITE , e
LEGAL �/ , (❑ SEE ATTACHED SHEET)
DESCR. ��� —� /I a// 6
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
�� ��,d; o let,
6VC K O 9 P
USE OF gG—FC- -- *„�?5;?CG—
BUILDING -r
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
r Describe work: _
I� e- aN Dw. Qgoco4e. h i�vY
9
Valuation of work: $ 'yQ 0 PLAN CHECK FEE PERMIT FEE J/
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
NO. OF STORIES BASEMENT ElATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
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 FORK 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 ❑El r SEASONAL FLOODPLAIN El
Firm
E.D. N0. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
/be
ertify that I am exempt from the requirements of the FIRE MARSHAL
ntract or registration law RCW 18.27, and am aware BUILDING DEPT.
the Mason County ordinance requirements for
ich this permit is issued and that all work done will ROAD ACCESS
in conformance therewith. MOTOR VEHICLE PERMIT
A?JXICATION AC EPTED BY PLANS CHECK BY APPROV OR.ISSUANC
Owner Date .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. <CA2JH