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HomeMy WebLinkAboutBLD2709 Final Remodel - BLD Permit / Conditions - 5/1/1979 McMinn, Earl L. #2709 7-25-78 N 25' Tr. 7 Sam B. Theler's Home and Garden Tracts Old Assembly of God Church-Belfair Chinese American Restaurant (remodel) $30,000.00 Plumbing Permit Mechanical Permit � _� ds�r �/��i�� ��-��, ©�� ���lj y t.,� � k v r BUILDING PERMIT APPLICATION `�hG MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED PERMIT NO. OWNER NAM MAIL ADDRESS CITY&STATE ZIP PHONE LeA R L DIRECTIONS TO JOB SITEb/� S� ' LEGAL (❑ SEE A ACHED SHEET) DESCR. N o(S / �`/� / �� ' CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE /�' G USE OF BUILDING /,� Al f Class of work: ❑ NEW ❑ AD ITION jE�ALTERATION WREPWR ❑ MOVE ❑ REMOVE Describe work: , b Valuation of work: $30 1^1O PLAN CHECK FEE Sr�" PERMIT FEE UV SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of ���� Occupancy Division � BY� Const. � Group Size of Bldg. No. of Max. (Total) Sq. Ft. Stories f 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. Firm PUBLIC WORKS By ROAD DEPT. Lic. No. Date 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 e_ 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. V PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH