HomeMy WebLinkAboutBLD10760 Final Retaining Wall - BLD Inspections - 10/16/1981 CONRAD, Jack L. #10760
06-11-81
First road left before you cross bridge at Treasure Island
5-21-1, Tax Lot 162A
Contractor
Roy Brumbaugh
Retaining Wall
$1,800.00 Shoreline Exemption
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BUILDIQ PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 � �
426-5593
DATEISSUED
PERMIT NO. mzz!
NAME MAIL ADDRESS CITY 8 ATE ZIP PHONE
OWNER CL Co ri12A1) O � cd SrLr Yrt � Y/073
DIRECTIONS TO JOB SITE / ��Th3mP 4 E ley' rFO?C O O llt,' / e '47, Alex--"- t /5 .410
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. cS_ 2 / / 7774 �Z A
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR G �AV 6�H ,IiT. O X IfS Ae0,Q 1c:k?l` W,4S11 112K
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
60A- 4EL7 A(6( /N-
Valuation of work: $ oyl PLAN CHECK FEE, g PERMI E �v
SPECIAL CONDITIONS: CC// �L/ V
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 SQ. 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
SEASONAL El FLOODPLAIN ❑
Firm /3/?&IM 4?Aa6-A( eC9/T/ s E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT
YES APPROVED NO
.D
Lic. No.27 3 y/ R`U_A4 Date%Z -21 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 BUILDING DEPT. // 6 >
the Mason County ordinance requirements for
whi h this permit i is d and that all work done will ROAD ACCESS
be n conforma t rewith. MOTOR VEHICLE PERMIT
PPLI TION EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. (O UUU Byj
�L N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH