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BLD13848 Pier and Dock Reconstruction - BLD Permit / Conditions - 4/18/1983
Kloze, Nick & Stouffer, Ethel #13848 532-2662, Aberdeen 4/18/83 E 1/4 of Govt. Lot 1, 33-22-3 1/2 mile east of Alderbrook (Stouffer on Mailbox) Pier & Dock Reconstruction Contractor: Jon B. McAninch $10,000.00 Shoreline Exemption*** Exempt from shorelines permit to repair and replace to original dimens�,ons, TF Shorelines: /( Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: Z8 E Stop Work: Mobile Home: Smoke Detector: Remarks: J BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS s CITY 8 STATE '!'s ZIP HONE N GAND ti _ O k3yr ©j .. Qta 14131ERDBIFN -VA. DIRECTIONS 9t 'Zo —�3Z_ZG6 TO JOB SITE /Z /IULIF EAS— a F 4">F1ZM(z00k (STbUFFa2 ON AA i Clin)e) LEGAL �/ (❑ SEE ATTACHED SHEET) DESCR. I=A'$T /4 �;p�, "T LOT �� 5EC; •33 TZZ N R3 V NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR 1`3 ��tl FRtrNDL caouE N,g ©L M IA w 98s0( USE OF /A C AN IJ vvzo-Aft '3S0-98 9 9 BUILDING (A/��^(.�N I �'�/ I ER Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE C-0 RST iz Describe work: 2EcoNsT7F-ocr ) Lika iN AEW�WSLGWS AS C L Valuation of work: $ 0, 0 PLAN CHECK FEE PERMIT FEE 10 r`©O $f6OV SPECIAL CONDITIONS: Exempt 01 /yam 'M •( MIf;, g ' I D 40) E BEDROOMS I DECKS CARPORT LJ NOTICE BATHROOMS I TOTAL SO, FT. GARAGE 1 ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, 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 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 USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT ( , SHORELINES , N C SEASONAL [- FLOODPLAIN Li Firm E.D. NO. S.E.P.A. I i By Special Approvals IN OUT YES APPROVED NO Lic. No. /AC All�J I sl (37-0q 131 Date 1 g S 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conform nce therewith. M9jOR VEHICLE PERMIT P ICATION ACCEP D 8Y PLANS C CK BY APPROVED FOR ISSUANCE Owner __ Date PLAk.eHECK VALIDATION CK. M.O. CASH WRMIT VALIDATION CK. M.O. CASH