HomeMy WebLinkAboutBLD4104 Roof Over Porch - BLD Permit / Conditions - 12/9/1976 Mark R. Postier #4104
' 1 12-9-76
Mission Creek Blk 3 Lot 18
Star Rt. 2 Box 188-B-1, Belfair
Fiberglass Roof over Porch
$441 .00
BUILDING PERMIT APPLICATION
MASON COUNTY ZZ3� os o(F
P.O. Box 186 Shelton, Washington 98584 ` /
DATE ISSUED 102/ �/7 f�
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS �Gl,t-it It/y�r /4 T ,[S;z/fA� c S/.v j�f pAA Or) rV i sS"0-1
TO JOB SITE u i
LEGAL r (❑ SEE ATTACHED SHEET)
DESCR. L �" 4//0 C 111'-C O "/.-/f A
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
i
USE OF
BUILDING t? 7 d ie sL /j 4/- �n o /L
Class of work: ❑ NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
A C 7`
�i/Z �6 /rl t 0 7'iLC,7- 4" �fl
jV
�i9 SsX eley7� 7 = 40
Valuation of work: I PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
AP ICATION EPED BY PLANS CHECK BY APPR D FOR IS ANCE Type of , Occupancy Division
BY Cu Const. / Group
GCS
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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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 AUTHORIZED
/ IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR 0wr r Al' eZ J G �`r Date!/ ^�— �� WORK ISCOMME COMMENCED.
FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
PLA CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION NCK. I M.O. CASH