HomeMy WebLinkAboutBLD9548 Service Station Canopy - BLD Permit / Conditions - 7/6/1976 Verhelst, John #9548
-- 7-6-76
Tract 1 of SW4, SE4j 29-23-1
Contractor
Steel Canopy on Service Station S.M.E. Corporation
$2,000.00
it iss �� 3
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BUILDING PERMIT APPLICATION
MASON COUNT'
P.O. Box 186 Shelton, Washington 93584 '
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
,
DIRECTIONS
TO JOB SITE - l e X ac- ga ! U ✓1 ___
LEGAL .2�- - I•a -510"/y / E��L XSEE ATTACHED SHEET)
DESCR. _ &ej I ✓ yV c�S
CONTRACTOR
NAME MAIL ADDRESS OITY A STATE 3��S LICENSE NO. PHONE
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USE OF
BUILDING ���✓t ` � ���.��
Class of work: ❑ NEW W6`.001:"1014 ❑ ALTERATfON ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Tnsf� / U Sq- c� Steel 1, ar, o�'y �o ekf Sf �
r c
e�-t- -c -e
bof I 111c,
Valuation of work: $ r T� - PLAN CHECK FEE ERMIT FEES
�JOoo `
SPECIAL CONDITIONS:
i
APPLICATION ACCEPTED BY PLANS CHECI(BY TP PRC\'GD FOR ISSUANCE Typo of Occupancy Division
671411��il� tConst. a
. Group
1 J
_
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVI;' - I
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a Currently registered contractor in RESIDENCE
the State of Washington and I am ev'are 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
nformance therewith. ZONING
HEALTH DEPT. A—
i rm__ m_ PUBLIC WORKS
ROAD DEPT.
rz
-ic. NcA- a,$/iR C,-0-AP�s2-Date a
OWNERS AFFIDAVIT
I certify *rat I am exempt from the requirements of the N 0 T I C E
contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR 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 _— Date WORK IS COMMENCED.
�E,: VALIDATION Ct: M.O CASH PERMIT VALIDATION CK. M.O. CASH
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Pursuant to paragraph 3 of tht lease ,, . 4 the
A.iv of January, IW6, by and between .John B. Verhelst anc
Kathleen F. Verhelst. , the i.ess-rs and Wilkins Distributing Co. , Gic. ,
the Lessee.
Permission is hereby t�;rante ; 'or . ilkins Distributing
Co. , Inc. at their expense to Lnst.,l ' a -,te;,L canopy cn the
helfair Service Station descri�,(,d in 4 t ,-J 1(•ase as Parcel A.
Aso at a future date tf) cnnstruc t `.,nsard R:-of nn t i front
and both ends of the building and pr:,vide so' ,`it lighting under
the roof to shine ioun on the bui '.di.ns-. At the time of installing
the Mansard Roof if Wilkins Distrihat:;ng Co. , Nc . decides tha:
it would look better to edge the canopy with `!ansard Shakes
aer:: �tision iq -,ranted maV6, this mo�'tficatinii.
J�ihn B. Verhelst
Kathleen F. Verhelst
Attest
Dated