HomeMy WebLinkAboutBLD15357 Final Bulkhead - BLD Permit / Conditions - 10/8/1985 BVLASCO, J. W. #15357
Shorecrest Addition, Block 1, Lot 15 4-9-84
11310 23rd Ave SW
Seattle, Wash. 98146 246-3151
1
Home next to Shorecrest Park on the right side
Contactor
Bulkhead Bob Fuller Const.
$5,431.50
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 / �sT
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&ST ZIP PHONE
DIRECTIONS i`� ��/ � �/�� �h —
TO JOB SITE G"
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. � /
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
/G17 &4�& zww-
USE OF ww''
BUILDING
Class of work: j$ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
'Z44-z' "_ zoo—, nxreowm= A� Anz
G
2 ,or ZZ
Valuation of work: $ � � PLAN HECK FEE PERMIT FEE r�
_1
SPECIAL CONDITIONS: buakeaetc/'t, dka44-
lu
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 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
PERMANENT [A SHORELINES ❑
conformance therewith. Q�
SEASONAL ❑ FLOODPLAIN ❑
Fi mS�L E.D. NO. S.E.P.A. ❑
B Special Approvals IN OUT YES APPROVED NO
I
No.Ah FO-C40 1 eq/rAl Date d' ZONING
PLANNING DEPT. 5
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.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
LICAT ACCEPTED BY PL NS EC A�O OR ISSUANCE
Owner Date. 5� B /
41�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH