HomeMy WebLinkAboutBLD7400 Concrete Wall - BLD Permit / Conditions - 9/12/1980 Treloar, R. F. #7400
9-12-80
St. Rt. 1, Box 244-F - Union �)
'Merrimount Tracts - Tr. 1 nely 10' - Tract 2
(Concrete Wall
$950.00
' - BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. T �Q O
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
fi. r-e 1ca� t R-t. 1 80X 2 -nio-ri a� eS 2 gr ff_ s0
DIRECTIONS /
TO JOB SITE COt-Yrer of MerrI_biou_At
2)f-/V'e q( Sfafe /I]l/ AWa
LEGAL �/Prr/mOu�r L )-a cl-s' �/ / �^ (O SEE ATTACHED SHEET)
DESCR. Ct / /x��
CONTRACTOR
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
-332 r"-
USE OF
BUILDING Co`nere--fe' Wald
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
t'or c ava t�? 6 o f o/i r� js- �r�,c'cLe 3��o�, (Ri7ic� safe alas mil/
Zo rc�7`ai� 011r70- hawk-, l acfi7r z d 8 `fTh1c r✓i7� st&&_1
3 u I�Pss`
Valuation of work: $ 60 PLAN CHECK FEE PERMIT FEE
pox 9s0. - ,�
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE Ll
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 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 FOR A PERIOD OF 180 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. PERMANENTi SHORELINES
SEASONAL Ll FLOODPLAIN !_l
Firm E.D. NO. S.E.P.A. Il
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I c ify that I am exempt from the requirements of the FIRE MARSHAL
ntract 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. 9 Q M R VEHICLE PERMIT
Dy /LC � Date . / ` (/ d ATION A T D BY PLANS CHECK BY BYPROVED FOR ISSUANCE
Owner
z
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PDO%�
pit
Yf sIse r%
1p 9
1(3
� � E
® b
I ? '
�9 -e4
� I
aau�+o�
�01 . 00/. i�