HomeMy WebLinkAboutBLD6507 Final Carport - BLD Permit / Conditions - 7/17/1980 O'Malley, E. P. #6507
5-29-80
Madding Sunny Shore #6, Tr. 87-A
6cz
Carport
$2,880.00
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BUILDING, PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 Gj40
DATE ISSUED
PERMIT NO. i ,� 7
OWNER
NAME ! MAIL ADDRESS Cl &S ATE ZIP PHONE
C Lpp,��
DIRECTION .A/� t3Sd/1/� �. �?/� �14te se�vd•�.
TO JOB SITE ti
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. F7-
ZE
AIL ADDRESS C� CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
_S 76
Valuation of work: $ PLAN CHECK FEE PERMIT FEE-3,F S
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT I i NOTICE
BATHROOMS TOTAL SO. FT. GARAGE I 1
ATTACHED C SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L_I OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I 1 DETACHED C
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 IJ SHORELINES I I
SEASONAL f J FLOODPLAIN 1 1
Firm E.D. NO. S.E.P.A. LJ
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certifythat I am exempt from the requirements of the
P q FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in nformance theiewith. MOT VEHICLE PE IT
APP ION AC E BY NS CHECK BY APPROVED FOR ISSUANCE
Owne Date_ / BY
oo, �r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI CK. M.O. CASH