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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