HomeMy WebLinkAboutBLD8736 Roofing Over Area Between Two Sheds - BLD Application - 12/22/1975 Sjg ti�E Cen_14 7—
BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED���" 7� —
PERMIT N0.49
MAIL ADDRESS ZIP PHON[
OWNER i 7,5 1,2 2,9
__ _ ; _firs• ,� �T K1'a/t—�<S �IY�—__— -----
DIRECTIOft _
TO JOB SITE /t-.4 G7' p $ / S,[C W.V,
L MAIL AD RESS ZIP D[6 ATTACHED SHEET
LEGA cCJ 1
DES AL. h— — - —
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CONTRACTOR- ' MAIL ADDRESS PHONE
�^�.G � — I
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING 81
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Class of Work: ❑NEW ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE
Describe work: ,1 R�j
0Pf/ofC, p��� ���� JJLTccJ [�iv �o xisT�-yC
Valuation of work:$ �j�Cl �� PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type Occupancy
Const. Group j� Division
C
Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories ) Occ.Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Required
I Certify that I am a currently registered contractor in the State ---- d'
of Washington and the County of Mason and I am aware cf the HEALTH DEPT. c/
ordinance requirEments regulating the work fcr which the permit ORKS
Is Issued and all work done wi:l be in conformance therewith. I5 pRpT,
Firm _By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the conlraeL
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit is issued
and that all work done wil! be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
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
Owner-,
Dale )✓ 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.