HomeMy WebLinkAboutBLD10203 Final Bulkhead - BLD Permit / Conditions - 7/16/1981 Moore, Earl Warren #10203
3-16-81
Treasure Island, Lot 134
Erosion Control Bulkhead
(Exemption dated 2/19/81)
$1,200.00
k
f
E
,� \
M
N �
� � 0 �
0
4
_ _
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY S STATE ZIP PHONE
DIRECTIONS
TO JOB SITE koT 13q Th-eosuv' c_ T,
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
E % ,Si Cc 7Vo L• titG11 ect,A to y 0 1► I
Valuation of work: $ ry Q o PLAN CHECK FEE PERMIT FEE O
f�+ ,
SPECIAL CONDITIONS:
BEDROOMS DECKS-- CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED 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 ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. j' R/ 3 /` /
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I ce that I am exempt from the requirements of the FIRE MARSHAL
c ract or registration law RCW 18.27, and am aware
f the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
In conformance therewith. OTOR VEHICLE PERMIT
PPLICATION ACC BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M. . CASH