HomeMy WebLinkAboutBLD5678 Repair Bulkhead - BLD Permit / Conditions - 8/2/1977 Robertson, P. R. #5678
1' G 8-2-77
Lots 4 & 5 1st Addn Ayock Beach
Repair Bulkhead
$501.00
Y
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
st ! P T NO. J 7e
OWNER NAME MAIL ADDRESS CITY&ST E ZIP PHONE
l J, / i !
DIRECTIONS
TO JOB SITE
LEGAL ,(_ i f (❑SEE ATTACHED SHEET)
DESCR. r
CONTRACTOR NAME MAIL ADD ES CITY&STATE LICEhSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
r -
Valuation of work: $ PLAN CHECK FEE PERMIT FEE l,-`i
SPECIAL CONDITIONS:
APPLIC ?ACCEPTED BY PLANS CHECK BY APP VEp�R ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
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 PUBLIC WORKS
ROAD DEPT.
By
Lic. No. Date
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
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
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
O ne 4"Itz, Date. WORK IS COMMENCED.
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PHONE 426-5593 JAMES E. CONNOLLY
( AREA CODE 206 DIRECTOR
f
MASON REGIONAL PLANNING COUNCIL
P.O. BOX 186 • 5TH AND BIRCH
SHELTON, WASHINGTON 98584
1
April 19, 1978
MEMO
TO: File
FROM: Monty Anderson
SUBJECT: Bulkhead Permit for R. R. Robertson, Lots #4 and #5, Ayock Beach.
Building Permit #5678
Mr. Robertson requested a site inspection for his proposed bulkhead.
Inspection was made at 9:30 A.M. , April 18, 1978. It was found that this
was a continuation of a bulkhead for which permits had been issued. Mr.
Robertson also had a permit for both Lots #4 and #5.
The permits are still in effect, although foundation inspection by the
Building Department still needs to be made.
MKA:ve