HomeMy WebLinkAboutBLD9858 Bulkhead FINAL - BLD Permit / Conditions - 6/11/1997 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3
DATE ISSUED Q
PERMIT NO.
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER MARJORIE M R AN R ?75-9192
DIRECTIONS
TO JOB SITE 1 ,0001 North of the, Victor Eire Station , waterfront side of hwy.
(❑ SEE ATTACHED SHEET)
LEGAL]
So. 70 ' of No. 140 ' of Gov't Lot 3, Sect. 21 , Twn. 22N Rn . lW.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR Sel ves
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION %M@CEPAIR ❑ MOVE ❑ REMOVE
Describe work:
Repair of once existing bulkhead by replacing with concrete wing-
retaining wall , apprx. 10 ' , and bulkhead to adjoin neighbor' s bulk-
head to the North. Picture attached.
—afValuation of work: $ PLAN CHECK FEE p PERMIT FEE
31 D
;;�. �7
SPECIAL CONDITION / / /
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED El 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
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 U ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in SHORELINES
conformance therewith. PERMANENT ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
Special Approvals IN OUT YES APPROVED NO
By
Date ZONING
Lic. No. 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. / f? / ?
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
` c� P LICATIO ED BY PLANS CHECK BY APPROVED FOR ISSUANCE
'
Owner ate. dU
�1
p CHECK VALIDATION CK.. M.O. CASH P MIT VALIDATION CK. M.O. CASH
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Read, Marjorie Morgan #E9$58
275-2192 4/15/82
` S 70' of N 140' of Govt. Lot 3, 21-22-1
1,000 ' North of the Victor Fire Station, Waterside.
E 3890 Highway 302, Belfair.
Bulkhead/Repair & Replace Contractor:
Selves
$3,910.00 Shoreline Exemption
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