HomeMy WebLinkAboutBLD9572 Cabin - BLD Application - 7/16/1976 S .
BUIWI G PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 7f
DATE ISSUED ..
PERMIT NO. 757 '2-
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE L L o_ /U __ Sct —p G/3/v
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.1 .S -7 7J 09
fps A.C�v y�•
CONTRACTOR NAME MAIL ADDRESS CITY&S T C,T E LICENSE NO. PH E
USE OF
BUILDING ,
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
oS 7
Valuation of work: $ PLAN CHECK FECV4
PERMIT FE
SPECIAL CONDITIONS:
,i�• _ � �irjJ r T c.✓i�+-L r=r7,s� i TS /L'i=is"df=
APP CATION ACCEPTEQ BY PLANS CHECK BY Aprnov[D FCH ISSUANCE Type of Occupancy Division
DY � Const. Group
Size of Bldg. ,r p� No. of Max. /
(Total)Sq. Ft. L4 O Stories / Occ. Load
CONTRACTOR AFFIDAVI
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Eontractor in RESIDENCE
the State of Washington and I am ev,are 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
c' / �. HEALTH DEPT. .i 6y .3
Firm_ —u� PUBLIC WORKS
By /r ROAD DEPT.
Lic. No. o7a3 /�`� 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 roquirements for SEPARATE PERMITS ARE REQUIREDFOR 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 ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner___ _. .__. Date. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1
PLANNING SHEET Each Small Square Equals 3 Inches
Customer Name
• sEEi
Address_-- _.-__-- —
e i _
Phone__
NDUSTRIES, INC.
6307 N.E. 127TH AVENUE Customer OK on Drawing X_.
VANCOUVER, WASHINGTON 98662
PHONE (206) 892-0300 Date---- Cabinet Style—_ _ _._— _ Cabinet Color
1 Ft.
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2 Ft.
3 Ft.
4 Ft.
5 Ft.
6 Ft.
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7 Ft. 0)L),q YT �y=
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8 Ft.
9 Ft.
10 Ft. �p
11 Ft.
12 Ft. to 0��
13 Ft.
14 Ft.
15 Ft.
16 Ft.
17 Ft.
1 Ft. 2 Ft. 3 Ft. 4 Ft. 5 Ft. 6 Ft. 7 Ft. 8 Ft. 9 Ft. 10 Ft. 11 Ft. 12 Ft. 13 Ft. 14 Ft.