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HomeMy WebLinkAboutBLD25781 Final Bulkhead - BLD Permit / Conditions - 7/19/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUE DNA-l_-_2 q-r �e ��� / PERMIT NO. ,ZP/ NAME MAILADDRESS CITY&STATE ZIP PHONE /YJE ,OWNER T-- f$27�pOLLln� // E, Gd,�. Soy' ZSS— DIRECTIONS / / Gl�k//t`� fipo�2 �/T� 'Y l4i L��l�l�tl +L�IG 1�'e,,D 4lA44 7W2-o(,6 'TO JOB SITE y-ltGL oA/ 94t vE/Pepiro - Z lrts ,5 TD o o ., o it- F-ycT-yam,vim !/rPA!fi��iYS ^7- ''- NUMBER t22.3Z ©IOSD ESCR. f R S OF ?01/7 �T 1 S�C.3�1T�/1f Z� /� I It/ NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE vr,ONTRACTOR DfVl -� 7 pL� *LG_ShW5 L- USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ WORK IBE Cor!$T�vQ�/ Q r�i r/'fi`�sr/� lS� flf9�✓ CO/1! GLi� BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FI REPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 14 eA?AfJ 'W5 OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM NTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONRMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWN E JDATE XBY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �` ' YES NO YES NO r I + HEALTH ' Z,L- PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT v,77 l D.O.T. BUILDING PLAN CHECK �J• —� SPECIAL CONDITIONS BUILDINGGROUP .u_` PRE•INSPECTION ✓ �( - SHORELINE WOODSTOVE PLUMBING r=.rraL�, MECHANICAL :i STATE BUILDING FEE ��� STATE SURCHARGE /�APPLICATION ACCEPTED BY PLANS CHECK BY OV F 1$SUANCE PERMIT VALIDATION TOTAL " j�-�_`A — BY CASH CK MO K, �5 ti CASE I N LET_ �0 r ,,.r, %tA ,) C N r a � n 21.01 lb ; Z 0 N m C _ D *n C4-3 ,i ;R': t f 1 i L Shorelines: Plumbing: Setback: Mechanics -' Special Interior: Conditions: FINAL:�X7 Mobile e:' Smoke Detector: noting: � Remarks: Setback: Foundation Walls: Framing: Fireplace Wood Stove. TYPE BULKHEAD Permit No. 25781 No. Floors Sq Ftg 1650 Owner SAST wig t Tel 255-2947 Date 5-29-90 Address 1827 Ho I I ing Hii I I s ve SE lTenton Zip Contractor e Address Zip Legal escripti Don Tr 5 G.L.3 32-22-1 Direction to project site E 380 Cronguist Rd DIRECTIONS ATTACHED ri-tm Ing Mechanical ewer Love Fireplace Deck Garage Carport Basement Loft Other