HomeMy WebLinkAboutBLD8601 Retaining Wall - BLD Permit / Conditions - 10/17/1975 Burns, Bob #8601
10-17-75
Madrona, Inc. , Tract 10 & T.L.
Retaining Wall behind house
$1 ,400.00
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BUILDING PERMIT .APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED /O-17- 75
PERMIT NO.
_ ---- --- MAIL ADDRESS --------- -_-_ZIP --- PNONL
OWNER
1 Bob Burns Rt. 1 Union, Wash. 98592 89°-3386
DIRECTIONS
TO JOB SITE t;adrona Beach - Union, Wash. or LEGAL —
(❑![[ATTACHED SHEET)
DESCR.� MAIL ADDRESS ZIP
--- — - --
--- MAIL ADDRESS PHONE
CONTRACTOR I
enecker P.O. Box 5. Shelton, Ida. 943-3277 223-01-14113
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING (No Building)_ RETAINING WALL
Class of work: n NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE
Describe work:
RETAINING FJALL - About 70 ft. long, 32 ft. high
Valuation of work:$ 1,400.00 Approx. PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: /
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR,JSSUANCE BY
Type of Occupancy
yJG � c� Const. Group Division
Size of Bldg. 1 No.of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor in the State 1,41fT
of Washington and the County of Mason and I am aware of the HEALTH DEPT.
ordinance requirEments regulating the wcrk fcr which the permit Re
Is issued and all work done wl:l be in conformance therewith. pEpT,
Firm RENECKER CONSTRUCTION
By Donald C. Renecker
Lic. No. 223-01-14113 Date 10-17-75
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract. _
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
Owner !UY.�.�1, u t� Date 10-17-75 AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHEI-TON PRINTING CO.
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