HomeMy WebLinkAboutBLD7787 Final Garage - BLD Permit / Conditions - 1/16/1978 Goff, Lucille J. #7787
11-4-77
Sam B. Theler Home b Garden Tracts, S 110' of
N 120 ft of Tract 11
Star Rt. 1 Box 8, Belfair
Contractor
Burlingame Builders, Inc.
Garage
$5,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
' P.O. Box 186 Shelton, Washington 98584 114 -7 7
{ DATEISSUED
PERMIT NO.
OWNER NAME/' +f U AIL ADDRESS ^ v / CITY 8 STATE _ ZIP r�
G J 1W 7/�L Uy� 24-
DIRECTIONS . p
TO JOB SITE �L �h L !� O J'uT/ f. -3-c z /v
LEGAL S a A. QL i7=t //D B /Cn'/ sV� �� (❑ SEE ATTACHED SHEET)
DESCR. 116 a o✓� �� T 0 �E'i�T /% c c%r z 7Co f}zy z S— J3- �'2O
NAME /MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR C/V Ll, ( e 2.3�(Y 327'/
USE OF
BUILDING 6: A Z
Class of work: )rNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
36
Valuation of work: $j PLAN CHECK FEE PERMIT FEE
Jr 32_00
SPECIAL CONDITION :
APPLICATION ACCEPTED BY PLANS CHECK BY APP ED FOR'IrUANCE Type of Occupancy Division
BY Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor In RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conforma7//
therewith. ZONING
j /3 / HEALTH DEPT.
Firm [Jv i� �)/C 1 Jz ` PUBLIC WORKS
By
ROAD DEPT.
Lic. Nola" l �� 7 �� Date a 2-2 / 1 7
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner Date. WORK IS COMMENCED.
V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4j.ii.t.Code 276, ttcq #25, j9aq<a #r 570
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.sURLINGAME BUILDERS, INC.
Sari Jhele•c /doNee CQ.tdK J•taata 3716 Perry Ave. N.E.
�So,tith //0 ¢ee.t o$ .the No-t,th 120 iee.t Bremerton, WA 98310
377-9759
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