HomeMy WebLinkAboutBLD9025 Chain Link Fence - BLD Application - 3/22/1976 -
`� BUILDING � PiRMIT APPLICATION
MASON COUNTY
P. 0. Box 400 Shelton, Washinqton 98584
DATE ISSUED
eel 4!"le-s AI X- PERMIT N O.
MAIL ADDRESS ZIP PHONE
OWNER i D sf _5� T41 3
DIRECTIONS
TO 106 SITE 6 . QlC-i J't / - - r
LEGAL MAIL ADDRESS zIP
DESCRY 1( 1SE5 A'(TACH ED SHEET)
CONTRACTOR MAIL ADDRESS PHONE
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: W ❑ADDITION 0 ALTERATION ❑ REPAIR 0 MOVE CI REMOVE
Describe work:
Valuation of work: PLAN CHECK FEE PERMIT FEE L n�)
C/ v• ,
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SPECIAL CONDITIONS:
APP (CATION ACCEPTED BY PLANS CHECKED BY AP OVED,FOR 1 NCE Bpi
GEE Type of Occupancy
onst. Group Division
-- — — -� 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 f�1NG
of Washington and the County of Mason and I am aware cf the HEALTH 0EPT,
ordinance requirEments regulating the wctk fcr which the permit PUBLIC WbAKS
is issued and all work done wi;l be in conformance therewith. AMD D&F-T,
Firm
By ---- --
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract.
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit Is issued and that all work done will he in con a e therewith. N O T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
Owner, a —140� 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
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. N1.0. CASH PERMIT VALIDATION cK. ) M.O. CASH
SHELTON PRINTING CO.
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