HomeMy WebLinkAboutBLD9755 Final Boat House - BLD Permit / Conditions - 6/3/1980 to 0 r H
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' BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. �sJ
OWNER N AD R CI &STATE ZIP p� HONE/
r7 l7/�
DIRECTIONS / / ��rl.
TO JOB SITE (> � �7
LEGAL - � � , f� ' (L SEE ATTACHED SHEET)
DESCR /Y/y/ ()ifs - d�L
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR e^
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ CW PLAN CHECK FEE PERMIT FEE
16
SPECIAL CONDITIO S:
BEDROOMS DECKS. CARPORT L NOTIC AJZ
BATHROOMS _ TOTAL SO. FT.__ GARAGE I:
ATTACHED I '. SEPARATE PERMITS ARE REQUIRED FOR PLUMB( �TING, VENTILATING
NO, OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SO. FT. _ FIREPLACE L DETACHED L
THIS PERMIT BECOMES NULL AND VOID IF WORK OR NSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CO STRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120,DAYS AT ANY TIME 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
conformance therewith. PERMANENT SHORELINES
SEASONAL ( ( FLOODPLAIN I
Firm E.D. NO. S.E.P.A. I '1
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
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 t rewith. MOTOR VEHICLE PERMIT
AP (CATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE
Own Date_ —
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. .M^-- CASH