HomeMy WebLinkAboutBLD5314 Detached Garage - BLD Application - 6/6/1977 BUILDING PERMIT APPLICATION
MASON COUNTY 313V/�anX,30
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED �° & 7
PERMIT NO. �V
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
yt.C« �T La x '3?�l SNP-L_i UPI WASH
DIRECTIONS
TO JOB SITE
LEGAL \_ �+ v�" Z I S\— 4 , ['ll= �/� S EC34 t T WW 21 N (0 SEE ATTACHED SHEET) �
DESCR. \ILA Z W v~/.M. xLt-_t�7(N \/v 3CX)
C� NNME =+���lT/Ly MAIL ADDRESS ` CITY&STATE LICENSE NO. PHONE
CONTRACTOR \G�Z1 t-+v.i y 9 ) <~�/Att`�Woc,,> vVr1 51-1 w WN%-�5 - 3 LW�kZ
�Tt=l=L. 13u1L(,INC;s
USE OF
BUILDING > >U�Zt1Ca\_ Cx= CA2 11Ut�
Class of work: $( NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
v\/C X-�� S T t=7-L S lV)INC.
C.-Ir-k r 7 Z v cm(mz f:1 C X ,
Valuation of work: $ 5 PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
LIGATION ACCEPTED BY1 PLANS CHECK BY APP V D FOR ISSUA)ICE 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
conformance therewith. ZONING
HEALTH DEPT. ✓�
Firm \r. C--UtjNk7L22)r( ( 13 � (�C�� PUBLIC WORKS
By JC Jr,,y&9--TEkQ ROAD DEPT.
Lic. No. \Q-VYN .C-2 -l3ZC,l tZ3 Date 5 (0- 77
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 Count ordinance requirements for SEPARATE PERMITS ARE REQUIRED NG. FOR ELECTRICAL, PLUMBING, HEATING,
Y 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.
P AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
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