HomeMy WebLinkAboutBLD98847 Bait Worm Shelter - BLD Permit / Conditions - 2/9/1976 French, Wallace D. #8847
Wa I I yes .Ba i t & Ecology Farm 2-9-76
Tract 19 of SE4, NW4j SE4, 13-20-4
Bait worm shelter
$1 ,800.00
Cti� v F,r e n
• - BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED
PERMIT NO.
MAIL ADDRESS Z:V PNON[
DwNER; �f �� /&lQr'r/� '�
------ -- -� N' --�-
DIRECTIONS i r
TO 10B SITEI1—
--- - ---- � --- ----- — -- - —-- -
LEGAL MAIL ADDRESS 21P
(LJSEE YTACHED SHEET)
DESCR.�aC
.MAIL ADD ESS PHONE
CONTRACTOR
USE OF MnA I�L ADOR63S PHONE LICENSE NO.
BUILDING — �&J"K Yl6
Class of work: NEW ❑ADDITION O ALTERATION '❑ REPAIR O MOVE O REMOVE
Describe work:
Valuation of work:$ 00 PLAN CHECK FEE PERMIT FEE ��-
c
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FORASSUANCE BY -.
-l4-111-. � Type Occupancy
y Const. Group Oivislon
�r
_.—_._ _____ ._ • -�`"— Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor in the State ZONING
of Washington and the County of Mason and I am aware cf the HEALTH DEPT.
ordinance requirEments regulating the wcrk fcr which the permit PUMLIC WORKS
is issued and all work done wi',I be in conformance therewith. ROAD DEPT.
Firm
By - -
Lic. No. Date
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� 120OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
•)afner �� ' Date 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
/PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
t SHELTON PRINTING CO.
L