HomeMy WebLinkAboutBLD11963 Final Deck - BLD Inspections - 5/18/1982 Montgomery, J. #11963
(582-7068) 1/27/82
Pirates Cove, Lot 15, 1st Addition.
380 Lombard Road South, Pirates Cove, Grapeview.
Deck (Alter/Replace) Contractor:
Self
$2,940.00 Shoreline Exemtpion
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 7 Ka
DATE ISSUED `�
PERMIT NO. // qg v
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
'j
DIRECTIONS 6?t2fL
TO JOB SITE /�/CjE 2 C4,
LEGAL (❑ S E ATTACHED SHEET)
DESCR. 6S
NAME MAIL ADDRESS 14CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR `� C
USE OF
BUILDING WC_ C/;E!e TO
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ d O PLAN CHECK FEE 0 PERMIT FEb
3� sV
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. 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.
OWNERS AFFIDAVIT HEALTH DEPT.
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
7 / — I/ - L AP LICATIONCEpIED$Y PLAN HE APPROVED FOR ISSUANCE
Ow c � Date. 1 I 1 �YY// BY`�
V I b(
Pat CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK M.O. CASH