HomeMy WebLinkAboutBLD5945 Final SFR - BLD Permit / Conditions - 1/28/1980r—
Jesfield, Jim #5945 .
9-15-77
Tr. 24-A G. L 3 & Port. G. L. 4 30-23-1
Residence
Plumbing Permit issued
$39,800.00 Mechanical Permit issued
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4 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 9858.4
DATE ISSUED �&5_-17 Z
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
�I M e s • 1 C).
Q -1-1 1 l L.t.n• Q s s-za (a
DIRECTIONS _ /� Csk 9 h,II
TO JOB SITE ` iGlt�l oPP nsStbn GeeK k. .4opof W I Awn `'1 t e Q11l le-4 +t.M
LEGAL T 244— I.- 3 ( SEE ATTACHED SHEET)
DESCR. fA-i . L6+ Sec-T. �, `i�.c� � .►C.�. �We "j— • W. M. 1n aGo
NAME MAIL ADDRES CITY&STATE LICENSE NO. PHONE
CONTRACTOR ��S�,eia �1GT u,C lO .0. 6ak 3"77 ���211' Yl• E-SF2`1bS
USE OF `1
BUILDING Res li CLet'1C(2,
Class of work: O(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
e u. e
Valuation of work: $ 39 8 o Q� PjN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, P C ECK BY APP OVED FO IS UANCE Type of Occupancy Division
BY Const. Group
� JT
O Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMAN NT 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 �Jesvie PUBLIC WORKS
By ROAD DEPT.
Lic. No. 'S�'' — 2 Date 9-13-1`7
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 REQUIREDFOR 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
Owner Date. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH