Loading...
HomeMy WebLinkAboutBLD9827 ReRoof - BLD Permit / Conditions - 7/28/1976 Steinke, Erhard H. #9827 7-28-76 St. Rt. 1 Box 9, Belfair Port. Tr. 12 Sam Thelers' Home & Garden Trs. Re-Roofing $510.00 /033� sDJ i 44n I ,U 6 -, 36 -�-(.L f. e-,ex /v f hc.e—� rvAa-4 )(d � 1 � y � �� /U�- e / �- �99 � �� w � �b ��� �! �� � w. 'E . f� Sif � ir► ke, i BUILJOY6 PERMIT APPLICATION MASON COUNTY /233Z JZ � Z� P.O. Box 186 Shelton, Washington 9853-3, DATE ISSUED PERMIT NO. OWNER NA MAIL ADDRESS CITY&STAT ZIP PHONE DIRECTIONS TO JOB SITE LEGAL (U SEE ATTA ED SHEET) DESCR. CONTRACTOR NAME h•.AILADDRESS CITY&STATE LICENSE NO. PHONE USE OF BUILDING r Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE I Describe work: — Valuation of work: $ ©v PLAN CHECK FEE PERMIT FEE el-_ SPECIAL CONDITIONS: APP CATION ACCEPTED BY PLANS CHECK BY APPRO\' FOR ISSUANCE Type of Occupancy Division D 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 ev,are Of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work clone 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/-m conformance ther with. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS Own ��`/�/CL��l( /' —7/ SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER D,,�C>' /�c f`. � ate.� / K' WORK IS COMMENCED. PLAN CHECK VALIDATION C M.O. CASH PERMIT VALIDATION CK. M.O. 1,