HomeMy WebLinkAboutBLD6485 Repair Boat Ramp Gangway - BLD Permit / Conditions - 5/27/1980 Ayock Beach Ass. #6485
5-27-80
8 mi. no. of Hoodsport
3-23-3
Repair Boat Gangway
$3,500.00 �_ �03
BUILDING PERMIT APPLICATION
A MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO. yrS'.S
OWNER _ NAME MAIL ADDRESS CITY STATE ZIP PHONE
IJ
DIRECTIONS
TO JOB SITE j y Y
LEGAL _� (Li Slit ATTACHED SHEET)
DESCR. 3—
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING O
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR MOVE ❑ REMOVE
Describe work:
Valuation of work: $ Off, PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS _ •CARPORT LI NOTICE
BATHROOMS_.__ TOTAL SO. FT. GARAGE I I
NO. OF STORIES BASEMENT I_i
ATTACHED [ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATI
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE [ADETACHED L]
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZE
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK I
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 i SHORELINES I
SEASONAL I ; FLOODPLAIN I i
Firm
E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be i onformance therewith. M TOR VEHICLE PERMIT
0orC' A ATION TED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date� � BY
VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
BUILDING PERMIT APPLICATION
LI ATION
A
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 7
DATE ISSUED
PERMIT NO.
OWNER NAME PAIL ADDRESS CITY&STATE ZIP PHONE
i/Y i
DIRECTIONS ,iJv r
TO JOB SITE , - /" (,— ,
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. a
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE A REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE Cl
ATTACHED I] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE 11 DETACHED I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
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 I
SEASONAL I i FLOODPLAIN I_I
Firm
E.D. NO. S.E.P.A. I I
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— 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 hat all work done will ROAD ACCESS
be ' onformance therewith MO VEHICL P MIT
AP I TIC, PT D BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date . BY
A
,IECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I