HomeMy WebLinkAboutBLD8878 Barn - BLD Permit / Conditions - 2/18/1976 Harley Stickley #8878
R'r 5, box 730 2-19-76
Shelton, WA
17-20-4, NA NW4
Dayton
Barn
$2496.
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• BUILDING PERMIT APPLICATION
MASON COUNTY
P. 0. Box 400 Shelton, Washinqton 98584
DATE ISSUED__2 1B-76 _
2 �� PERMIT NO.
MAIL ADDRESS ZIP PHONE
-.-
OWNER Harley Stickle Rt Box _ 0 Shelton 98584 -426-
DIRECTIONS
TOJOBSITE1 Correction_ Center Road._________-_
MgIL_ADDRESS ZIP
(E]SEE AYTACHED SHEET)
DESCR. The Westerly nacres _ofthe N—�_of NW�_of Sec 17, Twp 20 N. R 4 W.W.M. ,
MAIL ADDRESS PHONE
CONTRACTOR
-- --- ---- — -- -
USE Of MAIL ADDRESS PHONE LICENSE NO.
BUILDING Barn - ------- -------------- --
Class of work: f7 NEW ❑ADDITION C7 ALTERATION IC3 REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Barn - ---- - -- - - - -- - - - —
—Valuation of work: $ 2 ,496.00 PLAN CHECK FEE N R. PERMIT FEE 4jl0.00
SPECIAL CONDITIONS:
APPLICATION ACIEPTED BY PLANS CHECKED By APPROVED FOR ISSUANCE BY
Type of Occupancy
_= const. :V Group .T Division
Size of Bldg. i No.of Max. --
(Total)Sq. Ft. /XjE- Stories Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor in the State NING
of Washington and the County of Mason and I am aware cf the HEALTH DEPT.
ordinance requirements regulating the wcrk fcr which the permit FuigLIC WORKS
Is issued and all work done wi,I be in conformance therewith. ROAD DFLPT.
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 wil! 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-
(� f TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
')-,vner Date, 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
101971)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
�HE-ON PRINTING CO.