HomeMy WebLinkAboutBLD9211 Final Enclosed Patio - BLD Permit / Conditions - 12/24/1979 Fawver, Donald L. #9211
9-17-79
Deer Creek Estates , Tr. C
Route 2, Box 143B, Shelton
Enclose Patio
$2,000.00
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/a/o7 y171
' BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED —/ 7' 7 9
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DON �� L lAcr/✓tP— ,� . ,E � . 2 /3C,t /43r; sH£t_T�n/, /V/9
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTA D SHEET)
DESCR. D� ,[ C C /� ��Tigif� %/���% /� 3�
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION V ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
f/►i� [cS PA%/fl
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SO. FT. GARAGE 1.1
ATTACHED I; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I , OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE Fl IDETACHED Ci
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 I 1 SHORELINES
SEASONAL I 1 FLOODPLAIN I
Firm E.D. NO. __ S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for IC
DING DEPT.
which this permit is issued and that all work done will D ACCESS
�/ be in conformance
therewith. OR VEHICLE PERMIT
OU�ner11��
«�'`" � J Date. ��,/�J IATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH