HomeMy WebLinkAboutBLD7327 Final SFR - BLD Permit / Conditions - 12/8/1980 McGowan, Ken #7327
_ ,.y 9-5-80
Grapeview Estates (1.6 mi. so. of Allyn on Grapeview Rd.)
Grapeview Estates - Tr. 11 & 12, Gov. Lot 1 NE NW 32-22-1
Residence Wood Stove
Plumbing Permit
$31,684.00
2V
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.
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 applicant Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
2 WATER CLOSETS 41 el
BASINS
BATH TUBS
SHOWERS • J�
J WATER HEATERS C
AUTO.WASHERS
SINKS f7�
FLOOR DRAINS
DRINKING FOUNTAINS ,J
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.
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _ � �
DATEISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER] l t' �E?t tL Cie�',j -
DIRECTIONS
TO JOB SITE '6.5 T4 %G::z✓ %'7&-c S 7 &;k
n (❑ SEE ATTACHED SHEET)
DESCR. /4J /� d�df JoZ .� Al�� 3,:Z---;2x.—j
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF 4��
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ �r�,` �.• PLAN CHECK FEE ��^ dTJ PERMIT FEEoa Op
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS— TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT C-1 ATTACHED OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
j,of%%Y,?,Zf 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 i SHORELINES
SEASONALli FLOODPLAIN
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Li/No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEP .
PUBLIC WOR S
rtify that I am exempt from the requirements of the FIRE MARSHAL
tract or registration law RCW 18.27, and am aware BUILDING DEPT. wal? W90 n
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. M TOR VEHICLE PERMIT
j ��- A CATION AC T D BY PLANS CHECK BY �APP V D F SUANCE
Owner l� I' �'�' If ti' Date-
'1N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH