HomeMy WebLinkAboutBLD6953 Dock - BLD Permit / Conditions - 7/24/1980 Manke, Ray S R. Munson #6953
7-24-80
3 mi. E. of Union on 106
34-22-3 - Tr. 12 & E 19' of Tr. 13 - Gov. L. 3
Dock Contractor
P.D.B. Pile Driving
$8,500.00
BUILDING PERMIT APPLICATION
` MASON COUNTY
j P.O. Box 186 Shelton, Washington 98584
J V 426-5593 _
-^� DATE ISSUED
J PERMIT NO.
OWNER NAME MAIL ADDRESS CI TATE ZIP PHONE
C fj 110A1 ASS/o ��tiu� ,�, 9!.4 ap 949, 91 ,3
DIRECTION
TO JOB SITE K�S•l��`� o'
LEGAL (0 SEE ATTACHED SHEET)
DESCR. 3 —Z Z"3 Y l g a Tr' / 3 �,►
CONTRACTOR
NAME � MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
IV/ 'WvSCd- P00117 4/ A C��/E�3�/
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT Ll NOTICE
BATHROOMS TOTAL SO. FT. GARAGE E
ATTACHED I 1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE L] DETACHED I I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION 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 FI FLOODPLAIN I i
Firm �< vi�v NHS !o.
`� .. E.D. NO. S.E.P.A. i;
gy ` . Special Approvals IN OUT YES APPROVED NO
Lic. No. `iM-bM �����,3� Date �' //' 0/ ZONING
PLANNING DEPT. ,
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
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. MO VEHICLE P MIT
AP LI ATION D BY PLA S CHECK BY APPROVED FOR ISSUANCE
Owner Date. Bey✓N
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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MUNsON MANKE
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3LAL•It IM P9tT PROPOSED P I V R CaANUWAll, FLOAT,
'COTES ' AND PIWNCi,.
IN Fi(DOo CAwlAL , P�iGET 5aVN0
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DATUM : M.L,L.W. - 0.0' W-(3.5. COUNTY: M^SON
PURPC�C; PR1vATE WATER RELATED *TATE; WA35W1WC,ToN
USE OF APPLICANTS, APPL%. SY , R. MA\NKE AND
AD .lA(.-NT PROPERYY OVN*1ERS R. MVNSON
(K THELMA MAXWXLL
0 R1C-NARD JnNE'
5 HEET 1 f► MARCH 0158