HomeMy WebLinkAboutBLD11690 SFR - BLD Permit / Conditions - 11/5/1981 Works, Aleck
(275-6298) �11690
11/5/81
W. 385 feet of Govt. Lot 1, 31-23-1
1 1/2 miles down Mission Creek Road, Turn right up
hill, St. Rt. 2, Box 163, Mission Creek Road, Belfair,
Residence
Contractor;
Self
$33,768.00 j
Plumbing Permit
Wood Stove Permit
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PLOT PLAN
ADDRESS PERMIT NO.
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LEGAL o
DESCRIPTION LOT BLK '
ADDITION
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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 i"=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.AS D SHOWEWER SERVICE ELSH EVATION.EVATIION. SHOW TOURS OR LOCATIION,OFFIRST
WATER,SEWER, GASELEVATION,
ANDSTREET
ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 toINDICATE NORTH IN CIRCLEj i
70Z
GRAPH SQUARES ARE 5, X 5 OR 1"=20'
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I/We certify that the proposed construction will ggnform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BEL OW THIS LINE
APPROVED
DISTRICT AS NOTED � L-7 2�k/ DATE
iMtLTON PRINTING