HomeMy WebLinkAboutBLD16741 Repair Bulkhead - BLD Permit / Conditions - 4/25/1985 MUNSON) Richard #16741
4-25-85
Tract 13 34-22-3
807 Lake St. S. #303 Kirkland 98033 828-0754
1 mile past Alderbrook on water (next to big house
with tile roof)
Contractor
Olson Const.Co.
Repair Bulkhead
$1001 00
3—zzzq S q
V'�
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
T
DATE -_B - ----
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 `- —�
DATE ISSUED
PERMIT NO. /�/ /- `Y 1
OWNER NA E MAIL ADDRESS CITY 8 STATE ZIP PHONE
7 - 30 i �Z33 848--o 7 -
DIRECTIONS
TO JOB SITE
LEGAL. (❑ SEE ATTACHED SHEET)
DESCRSec �Z r -12 &'
CONTRACTOR
NIMI ADDRESS CITY&ST TE LICENSE NO. PHONE
USE OF
BUILDING
C
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work: Wemoutc (1AA
,
G Q //
4�
Valuation of work: $A90 / PLAN CHECK FEE IVI.j PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_. I DECKS — CARPORT I ; NOTICE
BATHROOMS____ ITOTAL SQ. FT. GARAGE I
ATTACHED i_i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [: OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE f-: DETACHED Ll
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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
theth State of Washington and I 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 I FLOODPLAIN
Firm E.D. NO. S.E.P.A. i
r
By Special Approvals IN OUT YES APPROVED NO
Lic. No.� � Date ? ZONING
PLANNING DEPT. a
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. (J
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
AP ION ACCEPTED BY PLANS CHECK BY APP D FOR ISSUANCE
Owner —_ Date . B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS Z' 79 7/ 4, PERMIT NO. f o
i v
'TaL 1 3 _/ 3O A/ 1�,3 6L >
a o
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA "06) Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS >" Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION P"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
-V INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
i
U� C
i
/ IT
M
I/We certify that the proposed construction will conform to the dirn*nsiOhs and uses shown above and that no changes will be made without
first obtaining approval.
k-'/�e-1
c
NAME(S) OF OWNER(3) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNE i R AU'r'HOFUZED REPRESENTATIVE
DO NOT W�R.,II TE BELOW THIS LINE
APPROVED r / —
DISTRICT AS NOTED "?S DATE
GHELTON PWN71N'i