HomeMy WebLinkAboutBLD5761 and BLD7721 Loafing Barn - BLD Application - 8/16/1977 BUILDINGPERMIT P LI ATI
ERM T A P C 0
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER _ NAME MAIL ADDRESS ITY&STATE ZIP r PHONE
DIRECTIONS C '
TO JOB SITE
LEGAL 4 s ATTACH SHEET)
DESCR. IN 54 "2j-&
CONTRACTOR NAME �O�Al ES p CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ l j � PLAN CHECK FEE PERMIT FEE G ��
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APP D FOR Iq UANCE Type of Occupancy Division
7 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.6 ZONING
fAPZj'4 C :S ASSN HEALTH DEPT.
Firm 0 PUBLIC WORKS
By
U ROAD DEPT.
Lic. No.k/9-~ST Kr--ASOIM d 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 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
/I� SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner, '-' Y..—' Date, WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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