HomeMy WebLinkAboutBLD5966 Retaining Wall - BLD Permit / Conditions - 3/6/1980 Gerald R. Foss #5966
3-6-80
Tracts 18 & 19 of Mad_rona Morng jidp RpA h
Plat recorded Vol. 4 of M Plats Page 9 of
Mason County, WA; excepting East 32' of Tract
18.
0$1'000.
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M , BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
fj����j p �✓ 426-5593
�� /� ���/''sa/✓1 DATE ISSUED
PERMIT NO.
. MAIL ADDRES y f1,e � CITY 8 STATE ZIP PHONE
OWNER NAME
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DIRECTIONS
TO JOB SITE JI
LEGAL
7X&10�'DESCR PCt� 9
CONTRACTOR NAME MAIL ADDRESS CI 8 STATE LICENSE NO. PHO` 1*
ee
.41
USE OF 4J
BUILDING '10 0 P 1t i Z /
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
4.2
Valuation of work: $/�,�� PLAN CHECK FEE PER IT EE
I SPECIAL CONDITIONS: 7—/hG /'• Dcl,e �� tJ7� L'L/��� /! //(/G �10.QG.
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BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElOR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
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 ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
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
PI- TION A E D B PLANS HECK BY APP OR IS ANCE
OVKrt6r Date. BY
PLAN CHECK VALIDATION VJ. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I