HomeMy WebLinkAboutBLD7766 Final School Building - BLD Permit / Conditions - 9/18/1978f Belfair Elementary School #7766
North Mason School District 10-26-77
29& 32-23-1
Contractor:
Earl Lincoln Construction
School Building Mechanical Permit issued
Plumbing Permit issued
$209,000.00
I a 33a
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ate .
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
t
ER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
c: aL �, 'CTIONES
TO JOB SITE
LEGAL SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO PHONE
CONTRACTOR - �117�C-LC���'�l C
CC/
USE OF
BUILDING
Class of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
AzI s' Cc .SL
s
Valuation of work: $ PLAN CHECK FEE �� PERMIT J,
� S
6 /� r)cX�, �� 77��
SPECIAL CONDITIONS:
�0
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPRO ED F(4R ISSUANCE Type of Occupancy Division
B 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. (p
Firm Z�AR L 41zyceL N 0,oNSr I-IV L PUBLIC WORKS
By.
ROAD DEPT.
Lic. No. 1?L-1-C• .2SP A/C Date 114-f/- Z7
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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for 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. /Y°-111 7T WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
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