HomeMy WebLinkAboutBLD12918 Rip Rap Bulkhead - BLD Permit / Conditions - 8/25/1982 Terhune, Robert J. #12918
4530 Claridge Dr. , SE, Olympia 8-25-82
456-4834
Brisco Point Lot 1
Hartstene Island to south tip, follow signs to Brisco
Point.
Rip Rap bulkhead Shoreline Exempt
$2,240.00 Contractor
Robert L. Ash
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 G
DATE ISSUED
PERMIT NO.
OWNER NA E MAIL ADDRE CITY&STATE , 3r f� G /
DIRECTIO S , r
TO JOB SITE _ �S
LEGAL (0 E A ACHED MEET)
DESCR. t
E MA Do Eke� 1_ 'AA C &STATE L CENSE NO. �JS.�$�NECONTRACTOR I1%1&, J
USE OF
BUILDING
Class of work: ❑.,KEW D ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE
Describe
Valuation of work: O .di LAN CHECK FEE PERMIT FEE 3R.
50
SPECIAL CONDITIONS: �(
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED O SEPARATE PERMITS ARE REQUIRED FOR PLUMBIi G, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT O 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 180IDAYS 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 US ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in i
n o me iherewit PERMANENT O SHORELINE
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT I YES APPROVED NO
Lic. No. Date 0NING
PLANNING DEPT. ej
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. 'z ay-tti O
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS ,I
be in conformance therewith. MOTOR VEHICLE PERMIT
PP CATION ACC ED B PLANS CHECK BY &MOVED FOR ISSUANCE
Owne Date. BY
I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.I M.O. CASH