HomeMy WebLinkAboutPERMIT 11780FINAL PASS 4/29/82 - BD General - 11/30/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ff
DATE ISSUED
PERMIT NO. /r 7 Ali)
OWNER g. NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �,,j / 1 �/ / /j /` /
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
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USE OF
BUILDING
Class of work: D NEW ❑ ADDITION ❑ ALTERATION 2, REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ r j PLAN CHECK FEE PERMIT FEE s`d
SPEC'AL CONDITIONS:
BEDROOMS_ DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT._ — GARAGE
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [! OR 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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. [l:
By 6311.� Special Approvals IN OUT YES APPROVED NO
Lic. No.11��c ' ,✓ �l Date kl"" %T/ 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. // i
of the Mason County ordinance requirements for v / `rO
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
(CATION AC EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
,r _ Date , BY;
;HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Griffey, Geraldine. &. #11780
(275-2117) 11/30/81
Lot 1,2,3,4,17,18,19,20i Block ll .& Lot 1 & 2 ofi, Block
2 Plat of Allyn.
North of port dock in Allyn.
Seawall Contractor:
Earl Lincoln Construction
$6,864.00 Shoreline Exemption
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