HomeMy WebLinkAboutBLD10818 Bulkhead - BLD Inspections - 6/18/1981 MATZ, Larry #E10818
Ati 8036 " ' St. , Tacoma ',6-18-81
Case Inlet, Road just before Treasure Island
5-21-1, Tax Lot 162A
Bulkhead Contractor - Roy Brumbaugh,
Brumbaugh Construction
$2,160.00 Shoreline Exemption
...___.0
�--� �cy"
_ ��1
� �, �
� o �
1
��
3
. .� K BUILDICS PERMIT APPLICATON
` MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 —4- �j
DATE ISSUED V
N f
PERMIT NO. f D FI g
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
s . c6 - i
DIRECTIONS
TO JOB SITE v
LEGAL _ y (❑ SEE ATTACHED SHEET)
DESCR. c� 2 — / /f X L-0 / .
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
crC-
USE OF
BUILDING !J/- 1,J /Y4zf 15 � `T/4-1 Al /, G WA L �
Class of work: j(I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of wo : $ C ` PLAN CHECK FEE PERMIT FEE 47
SPECIAL CONDI S: (Dry
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 ❑ 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. PERMANEN SHORELINE
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. � UM ` 1 C_ 2 `�� Date / — ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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
of the Mason County ordinance requirements for BUILDING DEPT. $�
which this permit is issued and that all work done will ROAD ACCESS
in conformance therewith. MOTOR VEHICLE PERMIT
//�a1 rf A LIC TION EPTED B PLANS CHECK BY APPROVED FOR ISSUANCE
Own A '�'�st Date_ BY
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O CASH