HomeMy WebLinkAboutBLD9004 Final Replace Pier, Ramp and Float - BLD Permit / Conditions - 12/19/1980 Allen, Dave F. (Duplicate) #9004
11-19-80
•6 mi. West of Allen, turn left for 3.2 mi. to Cronquest
Road, turn left, approx. .4 mi.
Gov. Lot 2, Parcel 2 32-22-1
St. Rt. 1, Box 247 - Allyn
Replace Pier, Ramp & Float as per Corps Permit
$16,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 11 157-��
PERMIT NO. v 0
OWNER NAME MAIL ADDRESS lcwCITY 8 ST ZIP PHONE
DIRECTIONS e
TO JOB SITE ,
LEGAL Q� (❑SEE ATTACHE HEET)
DESCR. �L. o- ��C.t�e, • ' a —�
NAME MAIL ADDRESS I 3 STATE LICENSE NO. PHONE
CONTRACTOR fl c 7 G
USE OF r
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION Ot REPAIR ❑ MOVE ❑ REMOVE
Describe work:
IV
Q.rr.t.
Valuation of work: $ PLAN CHECK FEE PERMIT FEE si
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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 ❑
�-1 n SEASONAL ElFLOODPLAIN ❑
Firm _ E.D. NO. S.E.P.A. ❑
C' Special Approvals IN OUT YES APPROVED NO
By
Lic. No.�r A -/AA=OM- �1I�D "Date �- 5"4f0 ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 BUILDING DEPT. (, Q
of the Mason County ordinance requirements for 042�_7
/which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTPj VEHICLE PERMIT
APPL TION ACC"By PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date, lcnu BY
PI AN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH