HomeMy WebLinkAboutBLD11227 Final Deck - BLD Inspections - 4/21/1982 BLESSING, Clermont S. #11227
E. 3460 Hwy 302, Bel 'air
08-17-81
Near Victor, 21-22-1, Tract 13, Govt Lot 1,
Deck Contractor - Self
$1,535.00 Shoreline Exemption
1�Ppt 30
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r , BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /
S PERMIT NO. ! �19�7
OWNER 'R'H6�U/ ,s��$$�if/6 MAILtADD �St7 /7 k� L clrY a STATE �$ZIP 17 S S S7
DIRECTIONS FF ��SLb 47
TO JOB SITE �� G+ O
LEGAL / � (❑ SEE ATTACHED SHEET)
DESCR. / ` `L. / /R / :�
CONTRACTOR NAME e MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: C// 1q1
Valuation of work: $ jS112 PLAN CHECK FEE PERMIT FEE�� s v
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT.__ GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 1 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 ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
hich this permit is issued and that all work done will ROAD ACCESS
/Oner
e i conformance t erew' MOTOR VEHICLE PERMIT
ate.
/ CATION ACC TED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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