HomeMy WebLinkAboutBLD7767 Carport - BLD Permit / Conditions - 10/26/1977 Bolling, Thomas G. #7767
` 10-26-77
S. 1081 of Ni, SW2, NE4, 36-21-t (Deer Creek)
Lean-to Shelter for Tractor
$540.00
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BUILDING PERMIT APPLICATION
' MASON COUNTY -
�2 �3�
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 'l7
PERMIT NO. 7��'�
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
otit v S L otJ 29•41f.
DIRECTIO14S dd11
TO JOB SITE H 1 t�G 3 o Vr .— re- bT �e r t Jy c st A
LEGAL (❑ SEE ATTACHED SHEET)
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
�s ,
USE OF J
BUILDING S t 0 r C-6 v r
Class of work: ITEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
o n r— or. or it-2. b.,t
0
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 6 eel
SPECIAL CONDITIONS:
APP CATION ACCEPTED BYl PLANS CHECK BY APPR VED FOR ISSUANCE Type of Occupancy Division
BY�,( Const. Group
47 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 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 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
t SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner r Date, WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH