HomeMy WebLinkAboutBLD13020 Bulkhead Repair - BLD Permit / Conditions - 9/16/1982 Milner, James #13020
882-0240, Bellevue 9/16/82
Madrona Morningside Beach Tracts, Tract 9 & TL
blorth Shore Road, Box 715, 1.5 miles before Tahuya.
Bulkhead/Repair Contractor:
Rogerson Concrete
$2,584.00 Shoreline Exemption
Shorelines: CO��
Setback:_
Special Conditions:
Footing:
Setback:
Foundation Walls:
F�....4
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:. 3 v
Stop Work:
Mobile Home:
Smoke Detector:_
Remarks:
BUILDING PFERMIT'APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 17 /6,
DATE ISSUED
12 oc;)-
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY STATE ZIP PHONE
a i O 14 L)F E.I. .E
DIRECTIONS 4800 S;— 882—OZ j)
TO JOB SITE _5401z—L O Zs Z W f, 6LG iz_
LEGAL �f77nn r� �� (❑ SEE ATTACHED SHEET)
DESCR. A 17F vhl U1� /�IN�S F ���
NAME MAIL ADDRESS CITY S STATE SE NO. PHONE
CONTRACTOR
Elm lc E oo �D, r_Me,7v,1W,6-
USE OFD
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
5 D rD C L tiepin/
D E T—A / r0
00 90
OF-r- 5
Valuation of work: $ 0 0 PLAN CHECK FEE _� PERMIT F 3 � 6
SPECIAL CONDITION : d
BEDROOMS DECKS CARPO T i l NOT I C
BATHROOMS TOTAL SO. FT. GARAGE
ATTACHED LJ SEPARATE PERMITS ARE REQUIRED FOR PLUM G, HEATING, VENTILATIN
NO. OF STORIES BASEMENT I: OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE F' I
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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the FOR OFFICE U S N LY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
F SEASONAL I FLOODPLAIN
Firm
E.D. NO. S.E.P.A. :
By C Special Approvals IN OUT YES APPROVED NO
Lic. No. 4 6:-P /)9lJ zDate . ! ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEFT.
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
P LIGATION IACC��'fED SY PLANS CHECK BY APP OVED FOR ISSUANCE
Owner Date. U
PL N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
EXEPTTION FROM SHORELINE, ,
MANAGFMF:NT ACT SUBSTANTIAL
DEVFLOPMENT PERMIT REOUIREMENT_
TO: _ �i]�l S i'Y11 LN 2�1 -' I� T+I- fl11� WE
The proposal by to undertake
name of- applicant-)
the following development SULK}- ?,'aPAI�
be specific)
upon the following property M A-ID20 N,�S'
legal description; i.e. , section to the
nearest quarter section
within and/or its associated
name of water areal
wetlands i P� ��� from the requirement of a substantial
i
development permit because the development
oE- 144 iS +4�
W LF02" 4M I-7--3r- 1 --D �Z
(identify exempt io s as outlined in WAC 33-14-040)
I
Corps Public N Lice Number if available)
The proposed development is consistent/inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
Policies of the Shoreline Management
Act.
The master program.
S_EFT , I
Date SignatArfe Aut r-ii cal Govern-
ment Offici
Date o Expira ion