HomeMy WebLinkAboutBLD7325 Final Carport and House Repair - BLD Permit / Conditions - 7/22/1981 Silcox, John - #7325
9-4-80
Lake Limerick, Div. 5, Tr. 38
Carport & House Repair
$29000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 9� C
DATE ISSUED /7 2Z
PERMIT NO. �/ ✓ —�
�� N ME MAIL.ADDRESS CITY&STATE ZIP PHONE
OWNER Al *
DIRECTIONS
TO JOB SITE
LEGAL. A4 (❑ SEE ATTACHED SHEET)
DESCR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR 11
USE OF
BUILDING
Class of work: ❑ NEW XADDITION ❑ ALTERATION F)<REPAIR ❑ MOVE ❑ REMOVE
Describe work:
L'OtIkICIOW1 CC rQ6' cK_rD 7 % Al e 1 b iv v
i
Valuation of work: $ p�o PLAN CHECK FEE PERMIT FEE
aODo
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. 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 r OFFICE(/G G
the permit is issued and all work done will be in
conformance therewith. PERMANENT a SHORELINES FJ
SEASONAL ❑ FLOODPLAIN
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
/be
y that I am exempt from the requirements of the FIRE MARSHAL
ct or registration law RCW 18.27, and am aware
Mason County ordinance requirements for BUILDING DEPT.
this permit is issued and that all work done will RO CCESS
conformance therewith. M O VEHICLE PERMIT
q AP IC TION ACC P D PLANS CHECK BY APPgggggqVED R ANCE
Own ✓ Date. / B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH