HomeMy WebLinkAboutBLD15957 Final Bulkhead - BLD Permit / Conditions - 11/5/1984 NANTZ, .Robert #15957
8-8-84
Walker Park Addn. 1/2 Lot 4, All of 5 & 6
Contractor
None listed
Bulkhead
$11,857.00
i
i
cad
o ..
O •• •• •� •• U O b0 U
.l bo-14 cc )-1 p I•.I O O O A to
r-� u co a co G r-1 cn "-1 :G.' -H rl
c+ a u u a p m b w a) a) co a.-H x to
o +J u o " a W o o u o 4+ +J g o a o p
ava owos� � o ,-avo �co ,a ,1ga
cn co cn w cn cz, w w 3 04 PQ cn o cn x
i
1
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
D j3� A At N T' 2• PERMIT NO. �✓ ��
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �R kLTIZ K. ixv1 T/TAN T 2 d LO7' /91
L
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: L t� / X �--_ ?��
� 'X f GZd
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 995-2)
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ElNOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I aware of the FOR OFFICE USE ONLY
or th Hance requirements regulating the work for which
th permit is issued and all work done will be in
c formance therewith. PERMANENT El SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. N Date ZONING
PLANNING DEPT. VVI AM
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. fS
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
v G APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
OwnerY Date —
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH