HomeMy WebLinkAboutBLD9607 Patio and Roof - BLD Application - 6/23/1976 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 48584
DATE ISSUED W-a;:�
�Z PERMIT NO. 9100.7-
OWNER NAME MAIL ADDRESS CITY&S1ATE ZIP PHONE
DIRECTIONS
TO JOB SITE I I
� ,v O L-al �id♦!/N.�..Za /je,��.� /�� a
LEGAL (&MEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR A.Ao AiillF
USE OF
BUILDING /-6 O
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
o AM Za � I O'V
Valuation of work: $ PLAN CHECK FEE PE MIT FEE
Soo I'16A /e IkMe
SPECIAL CONDITIONS:
APPLI ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Typo of Occupancy Division
Y Const. L` Group j
Size of Bldg. No. of Max.
CONTRACTOR AFFIDAVI
(Total)Sq. Ft. O O Stories Occ. Load 'A-
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registers%: contractor In RESIDENCE
the State of Washington and I am cv,are Of the MOBILE HOME —
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
=irm PUBLIC WORKS
ily ROAD DEPT.
sic. N.". _ _.__..-_ — Date
OWNERS AFFIDAVIT
I certifv *rat I am exempt from the requirements of the N O T I C E
contra,-A or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
wflich this permit is issued and that all work done will VENTILATING OR AIR CONDITIONING.
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner _. - . _ . _ _.. _ _—_ _—Date o 76 WORK IS COMMENCED.
C,HLC:< VALIDATION Ci-: M.O. CASH PERMIT VALIDATION CK. M.O. CASH
DESCRIPTION: Q-54637
That portion of the Northeast quarter of the Northwest quarter of
Section 16 , Township 23 North, Range 1 West, W.M. , in Mason County,
Washington, described as follows:
BEGINNING at a point on the North line of said Northeast quarter of
the Northwest quarter at the intersection of said North line with
the Southeasterly right of way line of the Old Navy Yard Highway,
which point is 279. 6 feet East from the Northwest corner of said
Northeast quarter of the Northwest quarter; thence South 89' 01 '
30" East along the North line of said quarter of quarter section
453 . 28 feet to the true point of beginning; thence continuing along
said North line, South 89° 01' 30" East 575 feet, more or less, to
the Northeast corner of said quarter of quarter section; thence
South 000 15' East along the East line of said quarter of quarter
section 351 feet; thence Northwesterly, in a straight line, 600
feet, more or less, to a point on a line- which bears Soii�ii ki i..i '
East 251 feet from the true point of beginning; thence North 000
15 ' West, parallel with the East line of said quarter of quarter
section 251 feet to the true point of beginning.
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