HomeMy WebLinkAboutBLD7748 Final Repair SFR - BLD Permit / Conditions - 1/8/1981 /Yprrr�Qn L;lJ�g9a.�
Yates, William G. #7748
` 10-27-80
1 miles south of post office - Box 72
tr. 27 & 29 - Sam B. Thelers Home & Garden Tracts
Repair residence
$700.00
�= BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 >a_'2 7--�
DATE ISSUED L
IT NO.
OWNER NA MAIL ADDRESS CITY&STATE ZIP PHONE
of
DIRECTIONS Vie sto I 'c. t.
DI JOB SITE C� FPa
LEGAL Q n/ (❑ SEE ATTAC,H[ED SSHEEEET)
DESCR. l� �f (� J / G C l� L: O 17� &es:
AME IL ADDRESS CITY&STAT LICENSE NO. PHONE
CONTRACTOR � r� -;7 7 70,
USE OF OrYll�c +
BUILDING Fe e,
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION X
REPAIR ❑ MOVE ❑ REMOVE
Describe work:
of
Valuation of work: $ O�.� �.-D PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS _ DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SO. FT. GARAGE[]
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES I
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 C,
of the Mason County ordinance requirements for BUILDING DEPT. /4 ?
which this permit is issued and that all work done will ROAD ACCESS
b con mance therewith. M TOR VEHICLE PERMIT
/—/, 7"-/. AP ICATION A E BY PI f�S C APPROVED FOR ISSUANCE
Owner ate . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH