HomeMy WebLinkAboutBLD N/A SFR - BLD Application - 5/24/1968 i
APPLICATION FOR BUILD ING PERMIT
Mason County, Washington
Date Receipt #
Received of G• iv, /t/�rs�,�v Fee J
Street�L� 3 ,lf, ���v. .r- Road Dist . #
City .-''� 'y y A P10'A f. y'�• .
I/
AS PER County Commissioners' resolution and laws of 1955 ,
this application is to be approved or rejected by the Ivason
County Commissioners. You will be notified by mail as to their
findings.
Legal Description:
Subdivision Lot Block Section _Township Range
r 0 zzl --to S .02 -1, 1"e
Intended use of buildings
Type of Construcy'ion l' C Estimated Cost $
THE STATE OF WASAINGTON requires the following information:
Name of Contractor
Labor & Industries Acct. # License #
Street
City
Signature of Applicant
Examined tr is day of 19_____.
Approved Rejected
Letter of explanation is attached if above permit is rejected.
hairman, County Commissioners
MCA: 4-68