HomeMy WebLinkAboutBLD29382 Final Garage - BLD Permit / Conditions - 1/4/1980 Johnson Howard #9382
10-9-79
Belfair. Manor Tracts a Portion of S 1/2 S 1/2 NE 1/4
NW 1/4 30-23-1
Garage Contractor
Raphael Construction
$7,278.00
BUILDING PERMIT APPLICATION
MASON COUNTY ja� 0 -0,I - 00010
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED � — 9- �
PERMIT NO. V8
NAME MAIL ADDRESS ®® CITY&ST//��TE ZIP 2— PHONE��
OWNER Q �p[It1 S /J P J. 60 -Y 9,eL 1Af LiA. S 22 .z7 S�
DIRECTIONS f Q f-ep-t—
TO JOB SITE 0b�L'f P, 1 J� (n I.SlJ� 1.L �. 10P 0t- 1441.E
LEGAL �I (❑ SEE ATTACHED SHEET)
0 r
DESCR. �r� (/ a� w % IC .e C_ b '7�wu �-A1
CONTRACTOR NAME MAIL ADDRESS F
p CITY&STATE LICENSE NO. PHONE
�APl)�-eC coti1 Sf-"Rcft B eR h
USE OF �QC l �Q QA-
BUILDING �/�AA6- % .9366
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ -ZA PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
NO. OF STORIES BASEMENT [IATTACHED ❑ 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 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
f conformance therewith. PERMANENT ❑ SHORELINES ❑
/` C C,5Ig^ /v,�g Ae cI Aj SEASONAL ❑ FLOODPLAIN El
Firm I�r7 H h1 0- C E.D. NO. S.E.P.A. ❑
ByL t�A Special Approvals IN OUT YES APPROVED NO
Lic. No. q 014 4C C-22S-DA Date I® / ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
(CATION ACCEPTED BY LPLANS CHECK BY PPROVED FOR I STANCE
Owner Date.
C�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION EK. M.O. CASH
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