HomeMy WebLinkAboutBLD9785 Carport and Storage - BLD Permit / Conditions - 4/14/1978 Larson, William M. #9785
4-14-78
Wooten Lake of 11A
North Shore Road to Wooten Lake Intersection
right 7 miles turn right 1 block
Carport and Storage
$2,250.00
aa319 -- 56- Do9 oO
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED'7 �/7
PERMIT NO. / 7 ps—
OWNER NAME MAIL ADDRESS CITY&STATE / ' ZIP PHONE
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DIRECTIONS ` ( ' 1 ']�-L / -�^
TO JOB SITE At, I t-c Rq. O tJCI&4' ..L Te-C ' /�r� ! h i " / wr n/
LEGAL 11 (❑ SEE ATTACHED SHEET)
DESCR. /h'f' �� — �OO� R l�E-Ai L c-.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF �7 �y
BUILDING��oPC C�f1RP0 p- t '5An R,09 �•,� �� �
lass of work: KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
kgescribe ork: ,
0 r '7 J
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
Sr �, �
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division I
BY Const. Group 1
Size of Bldg. No. of 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 VENTILATING PERMITSATE FOR ELECTRICAL, PLUMBING, HEATING,
AT NG OR AIR CONDITIONING.
which this permit is issued d that all work done will
be formance there th 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
Ow r to. WORK IS COMMENCED.
t e
Oyr
PLAN CHECK VALIDATION CK. , M.O. CASH PERMIT VALIDATION M.O. CASH