HomeMy WebLinkAboutBLD10819 Bulkhead - BLD Inspections - 6/18/1981 t
DEMARK,- Stephen A. #10819
1941 N. Cheyenne, Tacoma 06-18-81
Case Inlet, just before Treasure Island bridge
Block A of Detroit #2
Bulkhead Contractor - Roy Brumbaugh
Brumbaugh Construction
$1,440.00 Shoreline Exemption
ll�x
00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
SrF- ` �,E4," Q�� r l`
NAME MAIL ADDRESS CITY&STATE ZIP PHONE t
OWNER1. .
DIRECTIONS T /U
TO JOB SITE j 1/�f L� '" ! G' �T
SEE ATTACHED SHEET)
LEGAL &jrc4i,�-
„ _ �DESCR. /�. .�`--- PHONE
NAME MAIL ADDRESS CITY&STATE LICENSE NO. C
CONTRACTOR1. t "� i/' - -
USE OF
BUILDING 4� FA t4,-
Class of work: )( NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
�. ( iG
X x
PLAN CHECK FEE , �p PERMIT FEE � OD
Valuation of work: ICJ (,f[1
SPECIAL CONDITI NS:
LEE
BEDROOMS I DECKS NOTICE
BATHROOMS TOTAL SQ. FT.:jE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ 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
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the F p R OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT- SHORELINE
conformance therewith. ❑
/ SEASONAL ❑ FLOODPLAIN
Firm y � ¢L`'�� / E.D. NO. S.E.P.A. ❑
APPROVED
Special Approvals IN OUT YES NO
By
ZONING
Lic. No. �o ' J - ,� ' �- ate � _ �-�.'� �_
/
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.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LI TIO A PTED Y PLANS CHECK BY BYPROVED FOR I CE
UU jN
Own Date .
PERMIT VALIDATION CK. M.O. CASH
PL CHECK VALIDATION CK. M.O. CASH