HomeMy WebLinkAboutBLD8900 Garage - BLD Permit / Conditions - 2/25/1976 Lillehei , George R. #8900
Tahuya River ,Vtjlley, Division #2, Lots 14 & 15
Garage 1
$3,380.00
13UILDING PERMIT APPLICATION
MASON COUNTY ZZ2ff .S z (zbl
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED
PERMIT NO.
—� trot MAIL DRESS _—_---� _ -_-_ZIP --_-- PHONE
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OWNERI
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DIRECTIO!ft-� V
TO 10B SITE1 __
LE.�` MAIL ADORES! ZIP C:JsrE ATTACHED SHEET)
MSAIL�AD�DFFSS�','- •PIN ON[
CONTRACTOR ~—"
USE OF MAII. ADDRE PHONE LICENSE NO.
BUILDING
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Class of work: 016W ❑ADDITION C]ALTERATION 1 O REPAIR ❑MOVE O REMOVE
Describe work:
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Valuation of work:$
PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED By PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type of Occupancy
Const. Group o�4Division
---•— Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ.Load
CONTRACTOR AFFIDAVIT Special Approvals Required Resolved of squ
I Certify that I am a currently registered contractor in the State ING
of Washington and the County of Mason and I am aware of the HMEALTH DEP7%
ordinance requirements regulating the work for which the permit P01100.Wi5RR*
Is issued and all work done wi;l be in conformance therewith. 000T.
Firm
By
Lic. No. 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 N O T I C E
County ordinance requirements for which this permit is issued
and that all wo done will be,in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
O Z� Date 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
SHEI-TON PRINTING CO.
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