HomeMy WebLinkAboutBLD9248 Repair Bulkhead - BLD Permit / Conditions - 1/13/1978 Van 'Arnam; W. C. #9248
1-13-78
Plat of Ally <�lk;s17l && TL & 16 0 TL
N. to Allyn t yn to Coulter Creek Road
lst driveway.
Contractor
Waterfront Const. , Inc.
Repair Bulkhead
$1,800.00
BUILDING PERMIT APPLICATION
C PE 1 LI ATION MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 1 5' 7cF
PERMIT NO. /Cxl--- v
OWNER NAM A E ITY&STATE ZIP P NE
DIRECTIONS �► , v GZ J It f / /, v �� ` 7/l/
TO JOB SITE
LEGAL / (❑ S E ATTACHED,S EET) �-
DESCR. T 14Z Y QC / /Z,
PM E / M IL ADDRESS�t ,{��_ C/IT/Y&S ATCE�/1 �-7 LICENSE NO/J /PHO
CONTRACTOR Jr ` LL / Sv�i��GN� /� CryG' .SE /7` �(P
BUILDING C) ��� le �L!'��('� lock, �fi,'/9-�G -�C ~ �ZG 'C
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION AREPAIR ❑ MOVE ❑ REMOVE
Describe work: s—,
Valuation of work: $ PLAN CHECK FEE PERMIT FEE /
SPECIAL CONDITIONS:
i
W-P,ICATION ACCEPTED BY PLANS CHECK BY APP V D FOR IS S NCE Type of Occupancy Division
"��/(�)' BY Const. Group
y�
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 w rk done will be in Special Approvals Required Received Not Required
c rmance ther�Cyit ZONING
l/) HEALTH DEPT.
=iA Q'� ? PUBLIC WORKS
3y �C ROAD DEPT.
_ic. 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
,ner Date. WORK IS COMMENCED.
}
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH