HomeMy WebLinkAboutBLD9411 Duplex - BLD Permit / Conditions - 2/16/1978 Straatman, Peter #9411
2-16-78
Oak Park 2 Lot 8 5&6-20-3
Duplex
Plumbing Permit issued
$32,000.00
•A, BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 {/
DATE ISSUED s2�—
PERMIT NO. 2411
OWNER r ME ADD I $1STATE ZIP _ PHONE
i
DIRECTIONS
TO JOB SITE 13
LEGAL ' (❑SEE ATTACHED SHEET)
DESCR. f S'SF )
r ME AD�ESS �C &STATE LICENSE NO. PHONE
CONTRACTOR ; Z �RJ7—
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
l0� 2s� 133�0
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY1 CK BY APP =Size
Type of Occupancy Division
B� Const. Group0,2 le
of Bldg. No, of Max.
(Total) Bl Ft. #00JI& Stories Max Load
CONTRACTOR AFFIDAVIT o'er
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. v
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N 0 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
be IR—col'i manC ereWl h. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
�'A SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner L Date WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH