HomeMy WebLinkAboutProperty Owner's Authorization Letter - PLN General - 11/27/2018 Date Received:
MASON COUNTY
COMMUNITY SERVICES DEPARTMENT RECEIVED
BUILDING•PLANNING•FIRE MARSHAL
Mason County Bldg.8,615 W.Alder St FEB 19 2019
w Shelton,WA 98584 www.co.mason.wa.us 360-427-9670 ext 352
Permit 4
r Property Owner's Authorization Letter
USQ 2'D 1 LA S
(Print Properiv Owners Name;Firm/Organization)
t Hereby Authorize: Arc B Rr'TTo N
(Applicant-Name of Person ro Sign Permit)
Representative of: "To WTI bUtJTAY pvS'T FRA-hA &UD N 6S'
(4pplicant company Name/Organization)
To apply for, sign, and pick-up building permits for the following proposed work:
F AL-c T A DETAe-0 �g k 3(,'X 01N 6 6AP/A0-f _
T (Brief Description q f Work to be Done)
Job Location: .S8( .E 13AY W E 1014T S 1 N Ve .A Ll YN W A
(Propert);Site Address)
As property owner(s), I(we)hereby grant permission to the applicant referenced above to apply for, sign, and pick- M`
u the building permit for the work as indicated above. All work erformed must meet all provisions of the
P g P P P r.
Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License (RCW 18.27). t
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( roperty Owner Signature) (Date)
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