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HomeMy WebLinkAboutBLD11190 Final Bulkhead - BLD Inspections - 7/7/1982 1 DOWM, Leo #11190 223 Delmonte, Tacoma 0840-81 Treasure Island, Lot 103 KKXIZIHMKXRKEPCMYYKK Bulkhead Contractor - Daves Construction $1,001.00 Shoreline Exemption i i 4 E' h G V M ii I i i BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 '. `Q DATE ISSUED �-!C Gl�tin ei PERMIT NO. OWNER NAME MAIL ADD RE S CITY 8 STATE ZIP PHONE �-;-e D+. C DIRECTIONS TO JOB SITE LEGAL // (❑ SEE ATTACHED SHEET) DESCR. © �' J fG .tr di Q O '� NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR / ajil-e �S /9A `V USE OF L BUILDING lqt, A 3 ��1� ' 7_ ®. Class'of work: ❑ NEW ❑ ADDITION ❑ ALTE AT ON ❑ REPAIR 5AMOVE ❑ REMOVE Describe work: S am / J36, Vol A- d 3l Gon Valuation of work: $ D PLAN CHECK FEE PERMIT FEE ! �� SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT._ GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ 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. PERMANEN SHORELINE SEASONAL FLOODPLAIN El Firmer Y Y C G'h E.D. NO. S.E.P.A. ❑ By p/ ,/ f J „�, Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL /er ract or registration law RCW 18.27, and am aware BUILDING DEPT. he Mason County ordinance requirements for h this permit is issued and that all work done will ROAD ACCESS n conformance therewith. VEHICLE PERMIT PLIC 10 A PTED B PLANS CHECK BY APPROVE R SUAN O Date. BY /� I CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONU/K/ M.O. CASH