HomeMy WebLinkAboutBLD9657 Extend Bait Worm Shelter - BLD Permit / Conditions - 6/30/1976 French, Wallace D. #9657
` Walli's Bait & Ecology Farm 6-30-76
Tract 19 of SEµ, NWµ, SEµ, 13-20-4
Extend bait worm shelter
$1 ,400.00
BUILDING 1 1 N� D. �� e h��
• G PERMIT A PPL ICA T O
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAM 41 ADDRESS r CITY&STATE ZI , PHONE
1 re or 9
DIRECTIONS
TO JOB SITE
LEGAL (G SEE ATTACHED SHEET)
DESCR.
Nlkblk MAIL DDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING G?/
Class of work: ❑ NEW AADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /�
-��
'77
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 4:
r
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY [ 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
c:-nformance therewith. ZONING
HEALTH DEPT.
'-.irm__. - PUBLIC WORKS
;'y
ROAD DEPT.
ic. K __ _ _ Date
OWNERS AFFIDAVIT
I certif. at I am exempt from the requirements of the N O T I C E
contra--' 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.
Nh cF ;! ,.; permit is issued and tha 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 .. G C. e 'v WORK IS COMMENCED.
" 4ly'.. VALIDATION C�. M.O CASH PERMIT VALIDATION CK. M.O. CASH