HomeMy WebLinkAboutBLD2484 Final Bulkhead - BLD Permit / Conditions - 12/20/1979 Corrock, Jack #2484
7-20-78
Lots 48 & 49 Cad 'y s Sunrise Beach
Bulkhead 130' x 3' County Comm. exempt
$2,200.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 Z p�
DATE ISSUED
PERMIT NO.
OWNER N E MAIL ADDRESS ZIP PHONE
0 3z =7` CITY8STAT 3 - o
DIRECTIONS r100,
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NA CONTRACTOR MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING13, 1
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: i
C>
Valuation of work: $ PLAN CHECK FEE ,/—t PERMIT FEE
SPECIAL CONDITIONS:
2/214zzz
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY Const. / Group
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 work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT ,�-
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. 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 On County ordinance requirements for
VENTILATING OR AIR CONDITIONING.
whic his ermit is issued and that all work done will
be n CO 7rm7ceherew 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
Owner Date 7T WORK IS COMMENCED.
'.AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. . M.O. CASH