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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. ��m G/i y/.Q-, 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 �- r�/�•� off 7z 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. ok /r;'ee/ -5 .-L7-Y ( A, '-14 4., Au/ 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