HomeMy WebLinkAboutBLD4913 Bait Shed - BLD Permit / Conditions - 9/9/1976 Wallyk Bait & Ecology Farm #4913
• 9-9-76
541 W. H. , Shelton
Tr. 19 SEµ NW4 SEµ 13-20-4
Bait Shed (Extend Bait shed 481x20)
$2,880.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 7 '
PERMIT NO.
OWNER ja"NAM MAIL ADDRESS CITY�TE P PHONE
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DIRECTIONS
TO JOB SITE
LEGAL '/ L (❑ SEE ATTACHED SHEET)
DESCR. �/�. S�' �/� /v GG� 1/, c�l. �� 13 -a o-4/
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ADDITION El ALTERATION ❑ REPAIR ❑ MOVE El REMOVE
Describe work: /
Valuation of work: $ ��O 6-� PLAN CHECK FEE PERMIT FEE
r
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY 40ROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Contractor In RESIDENCE
the State of Washington and I 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 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 O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued nd that all work done will
be in confo mance they I THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
7 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner Date. / WORK IS COMMENCED.
71- CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH