Loading...
HomeMy WebLinkAboutBLD8483 Replace Aluminum Roofing - BLD Application - 9/15/1975 ��.so� ccJEs BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE ISSUED�_�/- PERMIT NO. OWNERMAIL ADORES! ----_-_ --ZIP PHONE i / _ i!�L�5 �.J-)/({ru S o A A.8 F2oa k '10 P�-A DIRECTIONS I TO 10B SITE �Q � — LEGAL MAIL ADD ESs ZIP (alLL ATTACHED SHEET) DESCR.1Su ti Ems. A C13 _t U MAIL ADDRESS PHONE CONTRACTOR 0e4 -40 L1 Ne D`v✓- USE OF MAIL ADORE63 —T PHONE LICENSE NO. BUILDING L e �F/C E Class of work: ❑NEW ❑ADDITION ❑ALTERATION AIR ❑MOVE REMOVE Describe work: 1"!5v- Lu0trii,,yUh7 2e c7©14� too,g� Valuation of work:$ `d o Q G1, PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: APPLI ATION ACCEPTED BY PLANS CHECKED BY APPP9VED FOR ISSUANCE BY Type of Occupancy onst. Group Division ——•— Size of Bldg. No.of Max. (Total)Sq.Ft. Stories Occ.Load CONTRACTOR AFFIDAVIT Special Approvals Required Reeelved Not Required I Certify that I am a currently registered contractor In the State NW4 of Washington and the County of Mason and I am aware of the HEALTH DSF'T. ordinance requirements regulating the work for which the permit ►fie Is Issued and all work done wi:l be in conformance therewith. OR= 5KFNT, Firm n 5 11A. C o By Lic. No tl Date 9 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 Counly ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. N 0 T I C E SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. Owner Date 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 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH SHELTON PRINTING CO.