HomeMy WebLinkAboutBLD11562 Utility Storage and Shoreline Exemption - BLD Permit / Conditions - 10/12/1981 Cothary, Walter G. #11562
10/12/81
Cothary Beach Tracts #2, Block 2, Lots 23 & 24
10 miles from BelfAir on North Shore Road
(St. It. 2, Box 580, Belfatt)
Utility Storage Contractor:
Self
i
$1,632.00 Shoreline Exemption j
A
i
i
i
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593 '
DATE ISSUED
PERMIT NO. ,
I
OWNER E MAIL DDRE S CITYd TAT ZIP PHONE
OIRECTIO S ,�55
TO JOB SITE//""��!//ffJS -yrh'j/.O /�jp
DESCRLEGAL. t; o/�C//- �CQG.0 �llGf �f GlG� 2.3 swz/ OCEE�A'-') MEET)
NAM MAIL ADDRESS%%% CITY d STATE LICENSE NO. I PHONE
CONTRACTOR 1S�P G0�5. C��4�1 USE OF //// �s�vf�rye GG1'>•!,l 7DO�S
BUILDING T
Class of work: ANEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: r
'&/
Valuation of work: S J /3� PLAN CHECK FEE PERMIT FE�
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT CI NOTICE
BATHROOMS TOTAL SO. FT.__ GARAGE ❑
ATTACHED O SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. I
TOTAL SO. FT FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK ORCONSTRUGTION 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.
ih nlate of Washington and I am aware of the FOR OFFICE USE ONLY
ordia equirementS regulating the work for which
the permit I Led and all work done be in
conformance there PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Li o. Date ZONING
PLANNING DEPT.
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
Owner�/r Date APPLICATION ACC
EPTED BY PLANS CHECK BY I APPROV�D,.F—OR ISSUANCE
JIXIrt�Uu
P N CHEC VALIDATION K. M.O. CASH ERMIT VALIDATION CK. I M.O. CASH
i
EXEMPTION FROM SHORELINE
MANAGEMENT ACT SUBSTANTIAL
DEVELOPMENT PrE�RMIT REQUIREMENT &
(name and address of he applicant)
The proposal by SrNYIP/ to undertake
(name -of applicant
the following development cons fruC c P
(be specific) I -
upon the folowing property c(9Jh4t j RP, Tr-ad-c-
( legal des iption; i .e. , section to the
nearest quarter section)
within qov4 Cn afs� and/or Its associated
(name of wate area)
wetlands is exempt from the requirement of a substantial development
permit because the development IS nnpfpr-L- ai21 t ciGTti �r?
ti rh r7 c
- qrl '7
( identify exemptions as outlined In WAC 173-14-040)
(Corps Public Notice Number if available)
The proposed development is consistent or Inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
Policies of the Shoreline Manage ent
Act.
The guidelines of the Department of
X Ecology where no master program has
been finally approved or adopted by
the department. 1
The master program.
4I,2/,I/
(date) (SignaTiFre of Authorize al Govern-
ment Official )
I
I
• , !/ MIN . .
■■■■■■■■■■!■■�'■r2ZJ►tl'�'lC- ■t■■■■1■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■ri�i!'�ili1■i■ ■■vG'Gie■■■■■■■