HomeMy WebLinkAboutBLD9629 Addition to Garage - BLD Permit / Conditions - 3/22/1978 Skipworth, Larry #9629
3-22-78
SW 1/4 NE 1/4 36-21-3
Deer Creek Loop
Beauty Shop (Addition to Garage)
$5,400.00
+� BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO. l
OWNER N ME MAIL ADDRES CITY&STATE ZIP ONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. `SW !'C� �PC 3lp cs>J IIJeS 1
NAME CONTRACTOR MAIL ADDRESS Cl"&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
e
Valuation of work: $ S_�Ov �� PLAN CHECK FEE PERMIT FEE
r E
SPECIAL CONDITIONS':
.� `s r
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of ✓ Occupancy Division
BY Const. '/ _ Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load l/1
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 a in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT. �Z
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
fX b j in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
�1 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
n. Datej— WORK IS COMMENCED.OW
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH