HomeMy WebLinkAboutBLD4387 Final Addition - BLD Permit / Conditions - 4/21/1977 (2) Pacific Northwest Bell #4387
Telephone Company 3-1-77
SW 1/4 SE 1/4 29-23-1 Contractor
Downtown Belfair C. E. Skinner, Inc.
Addition
147,539.00
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t t BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED �ZI 7 7
PERMIT NO.
i OWNER j��Jf ADdE ^� MAIL C�DD7E A�yC C �STATE " ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (11 SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR �' C
USE OF - 7
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
Valuation of work: $147 S-39 PLAN CHECK FEE 7 S— PERMIT FEE
l og
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
Size 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 C �' ' 'ry h�� C PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
- -iv t 37946
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 REON NG. FOR 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
mer Date. WORK IS COMMENCED.
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH J'
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