HomeMy WebLinkAboutBLD8978 Pumphouse and Storage - BLD Permit / Conditions - 3/15/1976 Schmidt, Howard #8978
3-15-76
WZ Wj SE4 NE4, 18-20-4
Pumphouse and Storage
$1 ,500.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P. 0. Box 400 Shelton, Washinqton 98584
DATE ISSUED `3
PERMIT NO.
-
OWNERDIRECTIONS
TO TO JOB SITE _
LEGAL MAIL ADDR S ZIP
n ��/ ( SEE ATTACHED SHEET) �
DESCR.1 C ��/ � o �Z IY r Apt's
CONTRACTOR
MAIL ADDRESS HONE
sa��
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING AA , /D U S F --
Class of work: NEW ❑ADDITION ❑ALTERATION I❑ REPAIR' LJ MOVE EI REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE � PERMIT FEE IJ D(/
i
SPECIAL COND:TICNS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Tope of Occupancy
—_. z s Const.k/✓��� ,2 Group Ia Division
_.—.-- —._-- _-- -- —_ ,Size of Bldg. No.of f 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 NING
of Washington and the County of Mason and I am aware cf the HEALTH DEPT. ,{
ordinance requirEments regulating the wcik fcr which the permit FOOLic W5nkiis
Is issued and all work done wi;l be in conformance therewith. R5AE5 DILPT,
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 O 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
')•Tuner /��� �GL�J�u Date 11/ 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
'AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
�HELTON PRINTING CO.