HomeMy WebLinkAboutBLD4513 Final Shed - BLD Permit / Conditions - 4/5/1977 Newell, Arthur M. E. #4513
3-24-77
Mission Creek Blk. 7 Lot 3
Storage Shed
$1,000.00
i
r`-s7r L>-
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED _3/AV 1-7 /
PERMIT NO. d�
OWNER NAME AIL A�R�S CITY 8 STATE
DIRECTIONS ZIP
JIG �(jT/ J ,J21r/
TO JOB SITE
LEGAL /�f // / (❑ SEE ATTACHED SHEET)
DESCR. D [J/OG� �ISS `rC� 5�a F /�/�� 8�
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. W PHONE
USE OF �/�/
BUILDING �t�%�!'�i � ,z&�
Class of work: ❑ NEW ❑ ADDITION K ALTERATION XREPAIR MOVE ❑ REMOVE
Describe work: I i <
� er
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
0 O D
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
, ize 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. t�
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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for 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 DAYS, OR IF CONSTRUCTION WORK IS
SUSPENDED OR ABANDONED FOR OR TIME
A PERIOD OF 120 DAYS AT ANY TIME AFTER
OWn Date. WORK IS COMMENCED.
AN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK.� M.O. CASH