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HomeMy WebLinkAboutBLD7082 Final ReRoof - BLD Permit / Conditions - 9/25/1980 Belfair Hardware #7082 8-8-80 Belfair proper 29-23-1 Contractor Olsen Construction Re-roof $6,000.00 I i � G BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 (lam DATE ISSUED � V PERMIT NO. OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE 9 a �s DIRECTIONS TO JOB SITE " LEGAL (0 SEE ATTACHED SHEET) DESCR. r'cu P �z— 3 W ! u.r � .Q It /9 V S tv k CONTRACTOR NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHA 0.4-5"!mot/ f o�� 7"' 0 - Awl �s USE O F 1 V�.>,ra - �C1X- -a�a-� � t�w 7 A t �h BUILDING .0 .77.E-10 �l Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE c?r 6. OleSG so SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED Cl 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 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. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS certify that I am exempt from the requirements of the FIRE MARSHAL The ontract or registration law RCW 18.27, and am aware f the Mason County ordinance requirements for BUILDING DEPT. hich this permit is issued and that all work done will ROAD ACCESS in conformance therewith. TOR VEHICi'E PERMIT Q� LIGATION EPTED BY PLAN CHECK BY APPROVED OR ISSUANCE Own Date O _ Bv�, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH