HomeMy WebLinkAboutBLD5875 Remodel Boat Lift - BLD Permit / Conditions - 2/20/1980 e #5875
2-20-80
31-23-3 Tract 2 and TL
2! Miles north of Hoodsport
remodel boat lift at marina
$6,700.00
&P551 — a - ricozy
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 1 _ Q
DATE ISSUED
PERMIT NO.
OWNER NA L ADDRESS CITY&7ATE kle)
PHON
DIRECTIONS
TO JOB SITE
LEGAL 1 ^� (El SEE ATTACHED SHEET)
DESCR. 3! `—� �J ) • °v� G( T
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: N ❑ ADDITION VALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
6
I
Valuation of work: $ �/4e� PLAN CHECK FEE PERMIT FEE Qp
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [1
ATTACHED IJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO, FT. FIREPLACE ❑ DETACHED []
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 , FLOODPLAIN L]
irm E.D. NO. S.E.P.A. I 1
y Special Approvals IN OUT YES APPROVED NO
ic. 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. (3 L
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
?� APPLICATION ACCEPTED BY PLANS CHECK BY APPR FOR E
er Date ory BY
CHECK VALIDATION K. M.O. CASH PERMIT VALIDATION CK. M.O. CASH