HomeMy WebLinkAboutBLD4131 Fuel Tank - BLD Inspections - 12/21/1976 Newman's Chevron Service #4131
Stana rd Oil Co. 12-21_76
29-23-1 Tr. 9A NE SE Contractor
A. L. Sleister Const.
Fuel Tank ( 10,000. Gal )
$3,500.00
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BUILDING PIIT APPLICATION 5-
MASON COUNTY 5-�Q )i da p--cL 0
P.O. Box 186 Shelton, Washington 9OW
DATE ISSUED 2
PERMIT NO.
OWNER NAME MAI ADDRESS CITY BSTATE ZIP PHONE
';
DIRECTIONS
TO JOB SITE
LEGAL ` ✓ _ (❑SEE ATTACHED SHEET)
DESCR. BZ 9-0?� ✓ /i A
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ,PHONE i
CONTRACTOR kL, ��
f2r C o V! S+- Co . i l 5 3 CI t v ti C rC4 Zhq j
USE OF
BUILDING
Class of work: XOEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
d
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
35,00 5' '
SPECIAL CONDITIONS:
APPLICATION ACCEPTED B PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY ^ Cont. Group
Site of Bky. No. of Max.
(Total)Sq. Ft. Storks Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMB
I certify that I am a currently registered Contractor In RESIDENCE
the State of Washington and 1 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 Approval@ Required Received Not Requi
conformance therewith. ZONING
r HEALTH DEPT.
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. No.—)2 j-(7 d /00 FS 2•- Date / 7
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 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.
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. NkCASH,