HomeMy WebLinkAboutBLD68 - BLD Application - 5/22/1968 y ; r
APPLICATION FOR BU IID ING PERM IT
Mason County, t,.ash ington
Date Z ',;�y Receipt
Received of 1� � Gr t�ir, ., Fee
Street 2 Z .moo :s a.,, Road Dist . #
City_S ��G,
AS PER County Commissioners ' resolution and laws of 1955 ,
tris application is to be approved or rejected by the I1,,ason
County Commissioners. You will be notified by mail as to their
findings.
Legal Description:
Subdivision Lot Block / Sect 'on Township Range
Intended use of buildings
Type of Construction Estimated Cost $
THE STATE OF 11,'ASHINGTON requires th following information:
Name of Contractor S c ,
Labor & Industries Acct. # License #
Street
City _
Ilk --
Signature of Applicant
Examined this day of 19
Approved Rejected_
Letter of explanation is attached if above permit is rejected.
Chairma County Commissioners
MCA: 4-68