HomeMy WebLinkAboutBLD9620 Concrete Base Fuel Tank - COM Permit / Conditions - 3/21/1978 Weyerhaeuser,Company #9620
3-21-78
NE 1/4 21-23-1
Concrete Base for Fuel Storage Tank
$1,200.00
/232/ /b % �U D
BUILDING PERMIT APPLICA TIOWtky`
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED�� 7I
PERMIT NO.
OWNER NAME M ADDRESS CITY&STATE PHONE
I���?�e 2 LP �51�(v LriS 5
DIRECTIONS ��
TO JOB SITE. f2 ����— a= cdJ�t•L'g 112 M.) J'�
LEGAL 1. 1 (❑ SEE ATTACHED SHEET)
DESCR. �C_-1`1 Old � �.J c�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR (,�fUKu0it,Jki
USE OF �-
BUILDING � >ET�• �j �p+Z_ -i 7 L -ht�+C� ✓�
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work•
0V0ST-1Z-L3C--T— N kf-tom- Q #3 0 C, L L-
1JTW1 ►J (VOL-ot't — 1 ° ✓'E '�� TE4 A,0 S
Valuation of work: $ 1 Z OO PLAN CHECK FEE PERMIT FEE lZ 0e
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
8 Consh Group
tcL C.O�K12-ET�-
/ Size of Bldg. No. of Max.
�C (Total) Sq. Ft. 0r& cc. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware 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.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit i issued nd that all work done will
be in confor nc t re it THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
K' ✓)� IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
l SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Ow r Date WORK IS COMMENCED.
PLAN C ECK VALI A ION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH