HomeMy WebLinkAboutBLD15264 Final Retaining Wall - BLD Permit / Conditions - 4/4/1985 DOMINGUEZ, Louis V. #15264
3-16-84
SE-1/4, SE-1/4 29-23-1
460 Twan oh Falls Dr.
Belfair, Wash. 98528 275-5064 `
Contractor
Hwy 3 to Belfair
Retaining Wall
$2,576.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: (K y
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED��-l1
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS IN `/ G( /I / ?� �e i�Q.i r
TO JOB SITE
LEGAL �,f �/ (❑ SEE ATTACHED SHEET)
DESCR. �O /c . o F Cam. y �L�C Z LA"4,1. Ne.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR /—Sce eMr G v t2--
;USE OF ILDING TQ/n//-)
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE
Describe work: OF
G c
Valuation of work: $ o PLAN CHECK FEE PERMIT FEE_ v
-5- 7
SPECIAL CONDITIONS:
BEDROOMS_ {DECKS CARPORT C; NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE []
ATTACHED I_7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED Li
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
confo ance therewith. PERMANENT SHORELINES
SEASONAL FLOODPLAIN i_I
Firm
E.D. NO. S.E.P.A. L
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 . /G y
which this permit is issued and that all work done will ROAD ACCESS
be�iZcofo erewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN HECK BY APPROVED FOR ISSUANCE
Owner - Date. �(5- "n BY _�,�
CZ-1 / �t
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH