HomeMy WebLinkAboutBLD5838 Foundation - BLD Permit / Conditions - 2/11/1980 English, W. H. #5838
2-11-80
Lot 3 of Beards' Cove No. 4, as recorded in
Volume 8 of Plats, page 93, situated in Mason
County of Wa.
West from Belfair to N Hiway 300 Sanitary Fill
road, turn rt, to second left turn (Beard's
Cove Rd.) then rt. to lot # 3D Lot 4
Lay foundation for a move-in house to be
moved onto lot.
$1,800.15
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Gv H, rL s H S7 E,4 774 7 R i 6 - 3-/s
DIRECTIONS
TO JOB SITE GAL �{_ �1 /�z • C° �j /) L 7 '`•V
DESCR.LO� �, Q�JI .� VE I�TACHED ,HEj/Q; 7,3�/ OS/ .r
NAME �� C-,V6 Z �AtL ADDRESS CITY&STATE LIC SE NO. 9--—
CONTRACTOR / JJ t7 _ Moft oD F Lt
USE OF
BUILDING SLY L Ifv I' l
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CH� PERMIT FEE
SPECIAL CONDITIONS: D�-a✓C�Q � � `j,(L �D .
BEDROOMS — DECKS CARPORT ❑ NOTICE
BATHROOMS % TOTAL SQ. FT. GARAGE X
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I ] OR AIR CONDITIONING.
TOTAL SQ. FT. 00 FIREPLACE I I DETACHED kj
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 ofWashington and I aware of the FOR OFFICE USE ONLY
ordinance requirements
the regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES I I
SEASONAL FLOODPLAIN I
Firm E.D. NO. S.E.P.A. I I
By p 1 v�S Special Approvals IN OUT YES APPROVED NO
Lic. No.
l r� �`' —� �1` o L Date 9 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be i confo�rma c lerewith. MOTOR VEHICLE PERMIT
'If
9�Q APPLICATION ACCEPTED BY PL S ECK BY APPROVED FOR ISSUANCE
Owner ' Date_ ` BY
PLAN CHECK VALIDATION CK._V/ M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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