HomeMy WebLinkAboutBLD9870 Roof - BLD Permit / Conditions - 8/3/1976 Keenan, Bob #9870
8-3-76
Rt. 1 Box 240AA, Union
35-22-3 Contractors
Bent Nail Roofing
Hot Work - Roof
$400.00
3. ire-e nql�?
M BUILDING PERMIT APPLICATION
MASON COUNTY � i( ���P.O. Box186 Shelton, Washington 28584 (�ZZs��
DATE ISSUED-- 7
PERMIT NO. !917d
OWNER NAME MAIL ADDRESS — CITY&STATE ZIP PHONE
Leenan Ro,nte 18 I= 2 0M -_IIaion, Washington _-----------898-2178
DIRECTIONS
TO JOB SITE LEGAL �rT I�
See. 35s Tmop 22, 3, fist 50' Of E 100 1 Of Gov. Let 3, OSEDt 6E�iwy and TideL
DESCR. PLII
t
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Bont Mail Roofing PO Banc 164 517 FranklU Shelton., Wn. Bg-HT-NC 284 NH 426-1161
USE OF
BUILDING Hoye
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION 2 REPAIR ❑ MOVE Cl REMOVE
Describe work:
Hot Work - Roof
Valuation of work: $ - PLAN CHECK FEE ,'ERMIT FEE rOO
SPECIAL CONDITIONS:
APPLICATION CEPTED BY�Y1 PLANS CHECK BY A ROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVI
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Contractor in RESIDENCE
the State of Washington and I am ev,are of the MOBILE HOME
ordinance requirements regulating the work for which
•h- permit is issued and all work done will be in Special Approvals Required Received Not Required
-nformance therewith. ZONING _
HEALTH DEPT.
Bout Wail_!!PO—ANPUBLIC WORKS
Jeame I,aBalU ROAD DEPT.
Ic. R : BF—NT-!Nr,4-4-XH-------Date
OWNERS AFFIDAVIT
at I am exempt from the roquifefnonts of the N O T I C E
t ,r registration law RCW 18.27, and am aware
of he fsEtson County ordinance requirements for SEPARATE PERMITS ARE REOI FOR 'LECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
.v++ -I + . permit is issued and that all work done will
be n m nformance therewith -rHI S PFRMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
;S NO COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner tale —, WORK IS COMMENCED.
l VALIGATI(: LASH PERMIT VALIDATION CK. M.O. CASH