HomeMy WebLinkAboutBLD26256 Final Bulkhead Repair - BLD Permit / Conditions - 4/8/1993 i
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Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
Mobile me:
Smoke Detector:
Remarks:
Doting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
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Permit No. 26256 No. Floors Sq Ftg 120
Owner GANG G. Tel-Z=- 84 Date
Address o. Shore Rd Belfair-- Zip
Contractor Stan u I sen
Address NE 5760 o. Shore Hd VeTtair zip
Legal Description a rona Morningside c iv 2 lot 4
Direction to project site miles southo e air
on the North Shore Rd
Plumbing— c anica ewer Stove
Fireplace Deck Z�arage arport
Basement Loft Other X_
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 qV
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER v►o G� r I,J 22
DIRECTIONS [[�� __\\
TO JOB SITE 13 ' p Cam- .�r L"", vet .
PARCEL LEGAL
NUMBER a 0000z/ DESCR. V"7 •mig aec . `` r�
1c.�d7 �J 2
NAME MAILADDRESS CITYBSTATE LICENSE NO. ZIP PHONE
CONTRACTOR ' Q43
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR x MOVE REMOVE
WORK ✓
DESCRIBE
WORK
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 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FI REPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
)EG
Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
MENTS 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
ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENQ BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT (-Q
D.O.T. BUILDING PLAN CHECK L
SPECIAL CONDITIONS BUILDING GROUP p PRE-INSPECTION
4
SHORELINE
WOODSTOV E
4 PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY �01E PERMIT VALIDATION TOTALtBYCASH CK MO