HomeMy WebLinkAboutBLD11072 Final Bulkhead - BLD Inspections - 8/5/1981 i
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BONCIOLINI, Adele #11072
3511-70th Ave. , W, Tacoma 07-23-81
Treasure Island, Lot 129
Bulkhead Contractor - Daves Construction
$1,001.00 Shoreline Exemption
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 r/
426-5593 �f
DATE ISSUED 7
/ ' I( $// �(,l % A � e , PERMIT NO. Z/O d�
�� CITY 8 STATE ZIP PHONE
NAME AIL ADDRESS SG�-^3
PDE
ER A GG
CTIONS y R
OB SITE Y f I� /,' Cdt I' o
(❑ SEE ATTACHED SHEET)
AL / �'r
CR. �o j / i S r G S a n LICENSE NO. PHONE
NAME MAIL ADDRESS CITY 3 STATE
CONTRACTOR �Q �,S LI /y '� S 3So S/j G y nn QS —Y�
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
f/C$ /'r� CiC,, //P/
ala 13 .Ee ,13 t4 ct 6 cptc 1"A -e I
PERMIT FEE
Valuation of work: $ !
PLAN CHECK FEE
SPECIAL CONDITIONS.
BEDROOMS ^ f DECKS CARPORT ❑ NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE ❑ 1111
PARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACHED ❑ AIR CONDITIONING.
NO. OF STORIES BASEMENT ❑
TOTAL SO. FT. FIREPLACE 1-1DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED USPEN ED OR ABANDO EITHIN D FOR A)ERIOD OF 180DAYS,OR IF 0DAYS AT AION NY TTIR WORK IS
IME AFTER
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the FOR OFFICE SE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in pERMANEN SHORELINE
conformance therewith. SEASONAL ❑ FLOODPLAIN ❑
Firm 4j { S � '�� �
E.D. NO. S.E.P.A. ❑
Special Approvals IN OUT YES APPROVED NO
By �L��'�_/�
�1 A I �� �g�it ZONING
Lic. No. f✓fr'1Yr` �` �� 6-L 7 Date U 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. �? 2
of the Mason County ordinance requirements for ROAD ACCESS
which this permit is issued and that all work done will
be in conformance therewith. MOTOR VEHICLE PERMIT
APP IC TI N EPTED PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date.
CLAN CHECK VALIDATION CK, M.O. CASH
PERMIT VALIDATION CK. M.O. CASH