HomeMy WebLinkAboutBLD9742 Garage - BLD Permit / Conditions - 7/15/1976 Soverei-in, F. V. #9742
- %. 7-15-76
Mading's Sunny Shore Addition, Division #6, Lot 79
Garage with Workshop
28 x 24
$4,368.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washingtor. 9845F�4
DATE ISSUED
PERMIT NO.
OWNER ( NAME MAIL ADDRESS CITY 3 STATE ZIP p� -yr PHONE
V N /t!bd (,[./lf JA2
DIRECTIONS 'qjyh�
TO JOB SITE � S ,e
LEGAL j�J100, IF] SEE ATTACHED SHEET)
DESCR. U� Al G // 01ii 1 UN,v Sho/s' /Y.O.b///a y
NAME MAIL ADDRESS CITY B STATE LICENSE NO. PHONE
CONTRACTOR 0 6VA/2
USE OF
BUILDING 4 /?14 (/
Class of work: CXNEW ❑ ADDITION 11 ALTFRATION C7 REPAIR MOVE ❑ REMOVE
Describe work:
O�
Valuation of work: $ PLAN CHECK FEE PERMIT FEE& F
SPECIAL CONDITIONS:
APPLI ATION ACCEPTED BY! PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
1 Y Const. Group
Size of Bldg. No. of V 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 REQUIRED FOR 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
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner �`�/ a �� Date- �14 WORK IS COMMENCED.
'LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH