HomeMy WebLinkAboutBLD13462 Final Repair Bulkhead - BLD Permit / Conditions - 5/20/1985 Robertson, Palmer #13462
877-9292 1/3/82
Ayock Beach lst Addition, Block 6, Lot 5
to Ayock Beach, stay left to last house.
Bulkhead/Repair Contractor:
Roorda Construction
$5,202.00 Shoreline Exemption
Shorelines:
Setback:
Special Conti :
Footing: 3
Setback:
Foundation Wa s:
Framing:
Fireplace:
Wood Stove•
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: C e 15' 3 o s r
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. 3 !O
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
19
DIRECTIONS r
TO JOB SITE - TL4T iL p`�-
LEGAL , `L fir` Is+ VTr7+Gi g(kAl'TACHEa�T)
DESCR. 5'L� �'(Z rti?1-- �O
CONTRACTOR
NAME MAIL ADDRESS CITY d STATE LICENSE NO. PHONE
�
iDnJ O oq ,00e� lvi� Qa 02-�Z4b 8�7595`
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION 54 REPAIR ❑ MOVE ❑ REMOVE
Describe work:
2 ,cam SI �2 T
b t 7Z- $,So _
I � z 8 ,50 17 34
Valuation of work: $ 7O� OO PLAN CHECK FEES PERMIT FEE�i C-�
SPECIAL CONDITIONS: L • (p =7
BEDROOMS {DECKS CARPORT L 1 NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE ❑
ATTACHED L7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE 11 DETACHED L7
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. PERMANENT ; SHORELINES Le'
SEASONAL I ] FLOODPLAIN i_I
Firm F9-d-+ ��i t./
✓J //��'� E.D. NO. S.E.P.A. iLi
By_�o%te' fl� >a " Special Approvals IN OUT YES APPROVED NO
Lic. No. -bQ-DG--746Q 14 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 ' conforman rewith. MOTOR VEHICLE PERMIT
LIGATION A Cf P E"Y PLANS HECK BY APPROV FOR ISSUANCE
Owner Date B
PLY
L CHECK VALIDATION CK. M.O. CASH IttRMIT VALIDATION CK. M.O. CASH