HomeMy WebLinkAboutBLD9486 Signs at Fabric Shop - BLD Permit / Conditions - 6/8/1976 Belfair Investment Co. #9486
• 6-8-76
Belfair Center
Contractor.
•
Dwinnell 'sCentral Neon
Signs at Fabric Shop, Craft Shop 8 Quick Pak
$1 ,500.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED �u
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE
EZ FA t R- N'rtSTtrN+r� ' t 23 S CTo t" - IN�4
DIRECTIONS
TO JOB SITE f}t
LEGAL (O SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR o .24�-377�
'I
LcN7�At !•►'ZiS c. �Ni� r\K-�w�14 �+h �23-o1- 653 �
USE OF
BUILDING Q v�GK- �R{�
Class of work: NEW ❑ ADDITION ❑ ALTERATION Cl REPAIR ❑ MOVE ❑ REMOVE
Describe work: I t rr
iK-
Valuation of work: $ ao PLAN CHECK FEE PERMIT FEE
/Soo —
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY! PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. 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
t & HEALTH DEPT.
Firm ��P.yTll i°rr_ PUBLIC WORKS
By .
7 '� ^ _��►4/'�N ROAD DEPT.
Lic. No. 2�3 -to! -Awls 3, 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 SEPARATE
of the Mason County ordinance requirements for VENTILATING OR PERMITS FOR ELECTRICAL, PLUMBING, HEATING,
AIR CONDITIONING.
which this permit is issued and that all work done will
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 I'k.",=-_'�-`a �T- Date c WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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