HomeMy WebLinkAboutBLD15647 Retaining Wall - BLD Permit / Conditions - 6/8/1984 KLOSE, N.S. #15647
1
6-8-84
Tract 2 of E-1/2 Gov Lot 1 33-22-3
2012 77th NE +
Bellevue, Wash 98004 455-2053
7627 Hwy 106 Contractor
Earl Lincoln
Retaining Wall
$8,075.00
Shorelines•
Setback: O
Special Conditions:
Footing: 7
Setback
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical :
Roof :
Exterior •
Interior •
Final : G - / 5
Stop Work:
Mobile Home•
Smoke Detector •
Remarks•
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED —
PERMIT NO. Z
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER
s r wo -oafs
DIRECTIONS
TO JOB SITE 1'7
LEGAL (❑ SEE ATTACHED SHEET) �c
DESCR. .5Ce. jj 7- -�'•?/X T/t � ��1 Lf' �e CMG!/ l
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR .�-4/'� �./�LO�h CAn37• .U. O 3�5� � 4�i' 4 �! L C �� `O�
USE OF
BUILDING C4)AePf7e tTihi%1 k�P�
Class of work: X NEW ❑ ADDITIO ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
D ` / ij/ em Z1, t
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS___ I DECKS CARPORT [] NOTICE
BATHROOMS------ TOTAL SO. FT. GARAGE ! :
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED i OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED Li
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 Of
nformance therewith. PERMANENT( SHORELINES•'!
SEASONAL � FLOODPLAIN i I
F
yr E.D. NO. S.E.P.A.Ji
6. Special Approvals IN OUT YES APPROVED NO
Lic. No.or&& Date ZONING
PLANNING DEPT. B /�
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 conformance therewith. MOTOR VEHICLE PERMIT
ff LIC� N ACCEPTED B PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. %�
PLAN CHECK VALIDATION CK. M.O. CASH / PERMIT VALIDATION CK. M.O. CASH