HomeMy WebLinkAboutBLD9311 Gas Pumps, 2 Underground tanks - COM Permit / Conditions - 1/16/1981 Berry, Bob #9311
1-16-81
1.1 mi. off Hwy. 3 on Pickering Road
Lot 2 of Short Plat #755 - all that portion of NE of
Sec. 32 and portion of Sec. 33 - Township 21, Range 2
Install 2 gas pumps & bury two 2,000 gallon gas tanks
$7,000.00
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BUILDING PERMIT APPLICATION 2 2133
s MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED � T
PERMIT NO. //
M�4
NAME MAIL ADDRES CITY 8 STATE ZIP PHONE
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u� C. 7316
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NAME MAIL ADDRESS / CITY 8 STATE V LICENSE NO. V PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: >t NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: 7T�
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Valuation of work: $ Cyr PLAN CHECK FEE PERMIT FEE
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SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Film E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I ceqWy that I am exempt from the requirements of the FIRE MARSHAL
co ract or registration law RCW 18.27, and am aware BUILDING DEPT. G
o the Mason County ordinance requirements for
hich this permit is issued and that all work done will ACCESS
be i onforman a therewith. OT R VEHICLE PERMIT
�. PLI ATION ACC T D BY PLANS CHECK BY AP R VED F R I E
Owner Date. t BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH