HomeMy WebLinkAboutBLD9935 Final Gas Tank - BLD Permit / Conditions - 8/13/1976 r
Datus, Robert K.
#9935
8-12-76
Rt. 1 Box 403, Belfair
1000 gallon Gas Tank
$300. 00
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BUIONG PERMIT APPUCATION
MASON COUNTY
P.O. Box 186 Shelton, Washington
DATE ISSUED /7
PERMIT NO.
AME MAI
L ADDRESS CITY t-
OWNER -L GATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (OEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS LICENSE NO. PHONE
L
USE OF
BUILDING
UI LDI N IG
Class of work: Ll NEW Ll ADDITION E ALTERATION L' REPAIR MOVE REMOVE
Describe work:
)t)C) 0 C
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
io
—SPECIAL CONDITIONS:
APPLICATIO ACCEPTEDB NS CHECK BY APPROVED :OR ISSUANCE( Type of Occupancy Division
11 Const. Grout)
Size of Bldg. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVI;-
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am avrare 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.
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N 0 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 onformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENS DED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner Date WORK I COMMENCED.
P L HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (k CK. ) M.O. CASH
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