HomeMy WebLinkAboutBLD8887 Fire Damage - BLD Application - 2/24/1976 A
BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED -at'[_7 � —
PERMIT NO.
MAIL ADDRESS PHONE
OWNER _ Robert Dick Star Rt 2 Box 246 8 28 27 _6466,
DIRECTIONS
TO JOB SITE1 __
MAIL ADDRESS ZIP
LEGAL (aS[[ATTACHED EN[LT)
IDESCR. Tract 12 NW4 NW4_ 1-22-2
-_L •MAIL ADDRESS PHONE
CONTRACTOR
Sound Services 1119 Pacific Bremerton 373-1441 98310
_
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: ❑NEW ❑ADDITION ❑ALTERATION =REPAIR ❑MOVE ❑ REMOVE
Describe work:
Fire Damage _
Valuation of work:$500.00 PLAN CHECK FEE PERMIT FEE D�
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type of Occupancy
Const. Group S Division
Size of Bldg. No.of Max.
(Total)SG. Ft. Stories Occ.Load
CONTRACTOR AFFIDAVIT 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 of the HEALTH DEPT.
ordinance requirements regulating the work fcr which the permit POINLIC WoAMB
Is issued and all work done wi:l be in conformance therewith. ozisr
Firm Sound Services
By Donn] d A . Dray -
Lic. No. SO-UN-DS-*242CDate 2-2-77
C- 600 165 257 _
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
C�runer Dated1 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. I M.O. CASH
t�
SHELTON PRINTING CO.
February 23, 1976
Sound Services
1119 Pacific Avenue
Bremerton, Washington 98310
Re: Robert Dick Permit
Gentlemen:
We have received the building permit application for Robert Dick. We
will need a legal description of the property before this permit can be issued.
As soon as this is received, the permit will be mailed to you.
Thank you for your attention to this matter.
Sincerely,
David Givens
Building Inspector
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