HomeMy WebLinkAboutBLD49 Garage - BLD Application - 7/31/1979 BUILDING PERMIT APPLICATION i
• MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
3z 1 32-Z Z 9mT?--- PERMIT NO. 7
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE
LEAL
EGCR. u w y w' 3a" a C QM ��~J (O SEE ATTACHED SHEET)
3-7R043
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR �,^K f?'1 ��N a t�(O� 16 —n gl�;�,, �T•K,+�•x�• v
USE OF V �'
BUILDING
Class of work: -fT NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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faluation of work: $ %Sv. PLAN CHECK FEE PERMIT FEE •
PECIAL CONDITIONS:
-1
-IROOMS DECKS CARPORT[] NOTICE
THROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED CI LSEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OF STORIES BASEMENT C7 AIR CONDITIONING.
AL SQ. FT. FIREPLACE ❑ DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
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 II SHORELINES LI
'J Ohm et�;/,vim SEASONAL ❑ FLOODPLAIN [I
- E.D. NO. S.E.P.A. L
Special Approvals IN OUT YES APPROVED NO
I• a7T/P/;?-6G -oZ_IV Date 1-3n ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
certify that I am exempt from the requirements of the FIRE MARSHAL
Nntract or registration law RCW 18.27, and am aware
the Mason County ordinance requirements for BUILDING DEPT.
.h this permit is issued and that all work done will ROAD ACCESS
I conformance there ith. MOTOR VEHICLE PERMIT
Date 7Z J 7a) APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PI.
'ALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
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