HomeMy WebLinkAboutBLD7617 Final SFR - BLD Permit / Conditions - 12/22/1977 Sparrowgrove, Ron #7617
,�,?L32 5 10-3-77
25-23 2-S 1/2 Tr. 1 N 1/2 SE SE
Residence Contractor
Person & Person
$30,000.00 s'f } f, 8ox / yC?
Plumbing Permit issued.
Mechanical Permit issued
/2-'2-./7 ;7 c4�1
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUE3/ 7 7
PERMIT NO. 7fp�7
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
�,Wve 5719 PY2 2v o C L
DIRECTIONS
TO JOB SITE
LEGAL yy EE ATTACHED SHEET) L- _
DESCR. ot�� - S��-L �, /�.�� S� j
CONTRACTOR
NAME MAIL AD ESS CITY&STATE LICENSE NO. PHONE
� � n
U� �Scw 4nFS GI ►,Slrt '' }li �C', l•OP.3 7�s"s y5
USE OF
BUILDING `
Class of work: KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
GC', � � r`fs�
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED F913 I SUANCE Type of Occupancy Division
BYkConst. Group
�� / �' 3
Size of Bldg. No. of Max.
ITotal) Sq. Ft. Q�(O Stories 2— 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
r ,(j HEALTH DEPT.
Firm Je C- PUBLIC WORKS
By ROAD DEPT.
Lic. No. / Zr-&.5'-O P 31 7&,e 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 REQUIREDFOR ELECTRICAL, PLUMBING, HEATIf
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 AUTHOR'
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WOR
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME A
OW r Date. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASK
Speed Letter®
t To /o 0 Qv -1 7i llfi &o/ From //)/l/ml(J r
q. (13,
Subject
--No.9 A 10 FOLD
MESSAGE
- - Cla L) I ci, sew o�
Date14Z Signed
REPLY
No.9 FOLD
No.10 FOLD
Date Signed
WilsonJones
GRAYLIN ED E FORM 4e-9 4-PART 177
01979•PRINT IN U.8.A. RETAIN WHITE COPY, RETURN PINK COPY