HomeMy WebLinkAboutBLD8843 Barn - BLD Permit / Conditions - 2/6/1976 Stickley, Harley #8843
2-6-76
W2, SWµ, SEµ, SEµ, 18-20-4
Barn
$2,496.00
Lj'& / W �
St, el< IIe-
BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584 7
DATE ISSUED .
PERMIT NO. � J
MAIL ADDRE
SS - -_21P --_----- PHONE
OWNER! c k L t — _T ��g—ge �/ '
IRECTI NS _ —To JOB SITE��
Yz. �� / ��� MAIL ADDRESS — - 21P
LEGAL ) (0SEE ATTACHED sNEET)
DESCR.
MAIL ADDRESS PNON[
CONTRACTOR ,J�/
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: NEW ❑ADDITION El ALTERATION `0 REPAIR ❑MOVE E] REMOVE
Describe work: Pkg
Valuation of work:$ PLAN CHECK FEE n� � PERMIT FEE 1G'
SPECIAL CONDITIONS:
APPLIC N ACCEPTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Tope of Occupancy
Const. Group Division
_-� Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVI Special Approvals Required Received Not Required
I Certify that I am a currently registered contractor in the State ZONING
of Washington and the County of Mason and I am aware cf the HEALTH DEPT.
ordinance requirements regulating the work fcr which the permit RKS
is issued and all work done wi;l be in conformance therewith. OR= DgpT,
Firm
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract-
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit is issued
and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
Owne Date // 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SH ELTON PRINTING CO.