HomeMy WebLinkAboutBLD9547 Final Diesel Tank - BLD Permit / Conditions - 2/19/1980 ;A
Belfair Arco #9547
11-5-79
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24-23-1 Tr. 12 NE SE Contractor
Smitty's Pump Repair
4,000 gallon tank (Dieg.el)
$3,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED' 11,37— l T/
PERMIT NO. (F-25-
' OWNER Z
Z
MAIL ADDRESS CITY&STATE ZIP PHONE
/ ` �-
11
DIRECTIONS
TO JOB SITE C J ��L r "r O
LEGAL Aq 2 3 'y (❑ SEE ATTACHED SHEET)
DESCR. P e C P la S r ,—
NAME MAIL ADDRESS ((')9PY&+STATE LICENSE No. E
CONTRACTOR i /
s � ` Lo care WCt S/V' '. TP-17 2
USE OF
BUILDING
Class of work: : ❑ NEW X.ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Aloe C) C? 7�V'
er
Valuation of work: PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE ❑
NO. OF STORIES BASEMENT ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ L
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith.- PERMANENT ❑ SHORELINES ❑
11 SEASONAL ❑ FLOODPLAIN ❑
Firm (. y"
_ E.D. NO. S.E.P.A. ❑
B _ - Special Approvals IN OUT YES APPROVED NO
Lic. No>� Date f� ,i- 9 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
A ICATION AC PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date Y
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
_ -
E
0
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.77
777.
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