HomeMy WebLinkAboutBLD5441 Pier, Ramp, and Float - BLD Application - 7/8/1977 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 177
DATE ISSUED Zlf
PERMIT NO.
OWNER NAME MAIL ADDRESS CIrr��&�STATE ZIP P�+ONE
Dean A. Biggs and Roy J. Correa, Jr. POB 140, Union, Wa. 98592 898-2557
DIRECTIONS
TO JOB SITE approx. 5 mi. N.L Union
LEGAL (LP16EE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
D-A Construction Co. Inc. , POB 140, Union, Wa. DA-CO-299 Ml 898-2555
USE OF
BUILDING
Class of work: ? NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
construct pier, ramp & float
Valuation of work: $ 109000 PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APP VIED FO SSUANCE Type of Occupancy Division
BY
Const. Group
CKh�`i< t. old a
Size of Bldg. No. of Max
CONTRACTOR AFFIDAVIT (Total) Sq. Ft. Stories Occ. Load
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Contractor In RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm D—A Construction Co. Inc. PUBLIC WORKS
By 1 ROAD DEPT.
Lic. No. DA-CO-299 Ml Date L 2 Z
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
which this permit is issued and that all work done will VENTILATING OR AIR CONDITIONING.
be In conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
mer Date. WORK IS COMMENCED.
'HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH