HomeMy WebLinkAboutBLD11071 Final Bulkhead - BLD Inspections - 8/5/1981 - Y Ii Yflr•-i Y��YI���� '.
1i0i1 IM, William #11071
p. Box 280, Grapeview a 07-23-81
Treasure Island, Lot 128
Bulkhead Contractor - Daves Construction
I
$1,440.00 Shoreline Exemption
x
A
s
i
I�
i
a
E
- � ',
�y
(�
ffvv
V'
\\MM�[\\
� �
-,' R,OIL DING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 7s� J/
- DATE ISSUED-
W t), go j//l y!1 S PERMIT NO. // 071
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTI NS
l3 v q0 ra eW ���Q �} 3 G 5 �. -2,�- 1/p L
/
TO JOB O SITE ft- f-
LEGAL 9 C (❑ SEE ATTACHED SHEET)
DESCR. /
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. 1 PHONE
USE OF / I
BUILDING /?-e / 0-/ // C^ R N G.
Class of work: ❑ NEW ❑ AD ION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
�'ro Sion. Co /rat, �
r
Valuation of work: $ � � PLAN CHECK FEE j� � P E R M I
t
SPECIAL CONDITIONS:
zgzr
IV
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE El
NO. OF STORIES BASEMENT ElATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
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. PERMANENT SHORELIN
SEASONAVI FLOODPLAIK ❑
x E.D. NO. S.E.P.A. El
By ,, / ��'� Special Approvals IN OUT YES APPROVED NO
Lic. No!O A-V-f,` J C -C2-6L 4 7 Date A/y A/ /9 ZONING
PLANNING DEPT. F F/
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
/be
fy that I am exempt from the requirements of the FIRE MARSHAL
ct or registration law RCW 18.27, and am aware
e Mason County ordinance requirements for BUILDING DEPT.
this permit is issued and that all work done will ROAD ACCESS
conformance therewith. M9TORVEHICLE PERMIT
Owner Date
�n P IC 10 TED BY PLANS CHECK BY APPROVED FOR ISSUANCE
� .
BY
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.P.CASH