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Home My WebLink AboutBLD10754 Alteration - BLD Permit / Conditions - 6/11/1981 ISZLEY, Henry & Chris #10754 0 6-11-81 Out Railroad to Dayton, turn right at power plant, left before-tracks 0 Track 7 of NE1/4 NE1/4 Sec. 18, Twp 20 N, Rge 4 W Contractor Parsons Bros. Const. Relocate Bedroom, Add Laundry and Bath $14,400.00 Plumbing Permit BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 / t DATE ISSUED f 1 PERMIT NO. l� 7� OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE O J30y Qcb DIRECTIONS TO JOB SITE o\1 pQp TO QWrwl TUM AI&I41 — LCEr at 4 LEGAL] 1� (❑ SEE ATTACHED SHEET) DESCR A CR // 5 a 106 r-10WA51 Zo 1lidt1�CONTRACTOR NAME MAIL ADDRESS CITY&STATE Q LICENSE NO. PHONE USE OF Q BUILDING Class of work: ❑ NEW ICADDITION Eg4LTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Rd S-0 �', O 0 Valuation of work: $ 00 PLAN CHECK FEE 0 P f v /o y SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED L THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- ONTRACTOR 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 conformance therewith. PERMANENT SHORELINES /1�� SEASONAL FLOODPLAIN Ll Firm � Q E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. a" Date f'y� 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. /i �� /i of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLI ATION A EPTED Y PLANS CHECK BY APPROVED FOR ISSUANCE Own Date. B AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS � 10 i� PERMIT NO. o LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20, ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' -,r } I i !1/ I/We certify that the proposed construction will conform to the dimensicyns and uses shown above and that no changes will be made without first obtaining approval. L-tay ;' L ta_4\14 �_ NAME(S) OF OWNER(a) OF SITE 6 STRUCTURE(S) (PRINT) IGNA VRE OF OWN E4r. AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE DISTRICT ASNO ED L� ] DATE GHKLTON PRTNTIN3 MASON COUNTY PLANNING DEPARTMENT P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT — Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. 1. Owner 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of appOlin t /+ Address Application date / LEGAL DESCRIPTION ►��f��l-1 RNU( y Ld I.� Location B \% a S 3 06 C.�4r.6, Building NO. PLUMBING FIXTURES FEE WATER CLOSETS CV BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL -- (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pemit issued Permit number Receipt No.