HomeMy WebLinkAboutBLD5930 Bulkhead - BLD Permit / Conditions - 3/3/1980 Long, Leonard-M.
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3-3-80
Section 28, T. 20 North, Range 2 , W.W.M. of Mason
County
Arcadia Point Road
Erosion Prevention Bulkhead
$4,000.00 to $5,000.00
HAVE EXEMPTIONS
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BUIILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 2 T
DATE ISSUED tJ 6
PERMIT NO. � 3D
OWNER NAME / MAI DRESS CITY&STATE ZIP PHONE
a r�+ /W. }. �6—63 4
DIRECTIONS
TO JOB SITE
9LEGA�6e,c,,-Fjo,,
(❑ SEE ATTACHED SHEET)
DESCa� O 1� 7� w QSon
NAME M IL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR F O - - � - 6 J
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION WAEPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE
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SPECIAL CONDITIONS:
BEDROOMS DECKS — CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [I
ATTACHED LJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED Ll
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 LJ SHORELINES Ll
SEASONAL [J FLOODPLAIN [I
Firm E.D. NO. S.E.P.A. ❑
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 in conformance therewith. MOTOR VEHICLE PERMIT
Owner CJYl CYY f7O APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date. BY
PLAN CHECK VALIDATION CK. V M.O. CASH PERMIT VALIDATION CK. M.O. CASH