HomeMy WebLinkAboutBLD12869 Final Bulkhead - BLD Permit / Conditions - 11/5/1984 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
— �a8 Y l PERMIT NO. q
NAME AIL ADDRESS / CITY&STATE J ZIP PHONE
OWNER �� �`� ct L1jc" 5'l `7
DIRECTIONS
TO JOB SITE
LEGAL / }t SEE H �`p,0 jZ
DESCR.
MAIL ADDRE ( CITY&STATE LICENSE NO.
CONTRACTOR �S �G n S� 5 33 SO �� SA e Ch
USE OF _ 1
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
a a
ox
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Valuation of work: $ PLAN CHECK FEE - PERMIT FEES
SPECIAL CONDITIONS:
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BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. — GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SO. FT. I 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 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
conformance therewith. PERMANENT ❑ SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm—�024 ' n E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No� �t�s r c�- (-/f 2 Date : G .. v O ZONING
PLANNING DEPT. $2 $2 Z
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 DEP Q2 S�2
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
ICATION ACCEP ED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
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P CHECK VALIDATION CK. M.O. CASH PtfRMIT VALIDATION CK. M.O. CASH
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Thomas, Charles #12869
943-9930,' = 8/13/82
I Tract 6 of Unrecorded Plat View Tracts,
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See Attached
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Bulkhead Contractor:
Erosion Control Dave s Const.
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$5,780.00 Shoreline Exemption
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