HomeMy WebLinkAboutBLD11076 Bulkhead - BLD Permit / Conditions - 7/23/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP -PMe"E+
3 -
DIRECTIONS T'SLr" Bast ob, CV&V% kiS f- R&c.d v F o f 7AiG
-F `
TO JOB SITE ' �
Xyl /o D o / `I/ 0,3 .' /i'1 A !&&A G o
LEGAL / / ^-� (❑ SEE ATTACHED SHEET) nc
DESC R. /0 9 5/ -- S W /l 3'Z-'2,2 ! / �(} O Cr Go J -0 Y� /`/J
CONTRAC l�-
NAME MAIL ADDRESS CITY&STATE lM9E�1(l, PHONE
TO
USE OF
BUILDING vee..K 1 W a// b� p� 5S' iV- ; �['d� i
v/�_ a
Class ;work: �ss El ADDITION O ALTERATION G��EPAeI R ew ❑
MOVE
REMOVE
adel
Describe work:
� a � t r l/a v l�/a..G�.a � i C�l!.•
/ r l a C'�✓t eL. O C 6 s�
Valuation of ork: $ P-P6.44 el FEE PERMIV E
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ LSEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that 1 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 El SHORELINES ❑
Firm �JIt'S :0/c/ (.-,dye. / • .l-re _ SEASONAL ❑ FLOODPLAIN El
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No.vt Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I ce ify that I am exempt from the requirements of the FIRE MARSHAL
c tract or registration law RCW 18.27, and am aware BUILDING DEPT.
f 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
CATION AC ED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner ate
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
McKIN3TRY, Ethel J. #11076
2347 McGilura LBlvd. , Seattle 07023-81
Turn east on Cronquist Road off of the Grapeview Rd. ,
in about 1000' follow chain link fence to right
Tax #1094, SW1/2, 32-22-1, Tract 10 of Govt Lot 3 NE1/4
10 a 3a y0 - 90100
Bulkhead Contractor - Jesfield Constructioi
$1,950.00 Shoreline Exemption
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