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HomeMy WebLinkAboutBLD8550 Addition - BLD Permit / Conditions - 10/2/1975 Kimmel , John #8550 C� 10-2-75 NW, SE, W of R/W ex. Trs., 36-21-3 Addition of Garage and Breezeway $10,000.00 s�� 36 -Ijkz 0-�� � t i ,` II!i BUILDING PERMIT APPLICATION MASON COUNTY P. ©. Box 400 Shelton, Washinqton 98584 DATE ISSUED_1Q'`� ' �� _ PERMIT NO. PHONE -- - OWNER DIRECTIONS TO 10B SITE LEGAL vv MAIL ADDRESS �� q :Iv ✓ ( •[ ATTACHED iN[LT) DESCR. CONTRACTOR MAIL ADDRESS / PNON[ USE OF MAIL ADDRESS PHONE LICENSE NO. BUILDING Class of work: D NEW 9ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑REMOVE Describe work: 171O 1 -2a �'�--4 e wa- Valuation of work: $ I 0 PLAN CHECK FEE PERMIT FEES Z SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Type of Occupancy Const. Group T Division ----- - Size of Bldg. No.or Max. (Total)Sq. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require I Certify that I am a currently registered contractor in the State -ZUIqTfTO of Washington and the County of Mason and I am aware cf the HEALTH DEPT. ordinance requirements regulating the wcik Icr which the permit POWLTUIX51RIKIIIIII is issued and all work done wi;l be in conformance therewith. bkPT. i Firm By i! - Lic. No. -�fi�-/�E S/ Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the contract. _ or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for which this permit is issued --- and that all work done will he in conformance therewith. N O T I C E SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION '�Wr1P.r Date AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH V SHCLTON PRINTINO CO.