HomeMy WebLinkAboutBLD14962 Final Alteration of Office into Dental Office - BLD Inspections - 1/12/1984 HUMPHREY, Paul #14962
11-28-83
28-23-1, N;j, SW$
Spot Realty Building - Belfair
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Contractor
Mike Minkler 877-9419
Alteration - make existing
office into dental office
$27,000.00
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Y - BUILDING PERMIT APPLICATION
MASON COUNTY
t O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER E M IL ADDRESS CITY&STATE ZIP PHONE M
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DIRECTIONS T o ` �ECT SITE
TO JOB SITE � c
LEGAL A1 'SW ,^ (❑ SEE/A�TTACH(E�-D SHEET) i
DESCR. �g �Z 3"' , 01/ ( � y 1giY- 1� L CV\o�RL I -bIC
NAME ( MAIL ADDRESS &STATE LICENSE NO. PHONE
CONTRACTOR 1 c S4A, O i
USE OF r h O
BUILDING
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Class of work: ❑ NEW ❑ ADDITION )kALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
0 4 r
Valuation of work: $ PLAN CHECK FEE PERMIT F%a
7 0 C9 0 073: e a 7
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 ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR 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 am a currently registered contractor in WORK IS COMMENCED.
the State Washington and I am aware of the FOR OFFICE USE ONLY
Xthe
quirements regulating the work for which
s issued and all work done will be in
therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑Fi 1`�` \r r
E.D. NO. S.E.P.A. ❑
By L�\.a Special Approvals IN OUT YES APPROVED NO
Lic. No. -��►1 t l �mg!DR Date $ ZONING
PLANNING DEPT. - 1/- - 3
HEALTH DEPT. i -74.3 li,,q X
OWNERS AFFIDAVIT
PUBLIC WORKS
I certify that 1 am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
BUILDING DEPT.
of the Mason County ordinance requirements for v bI3
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date.-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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
Contractor 8 S 4$
ye djs or
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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
WATER CLOSETS
,ov
BASINS
BATH TUBS
SHOWERS
WATER HEATERS t
AUTO.WASHERS
SINKS G(j
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER i
DISPOSAL
URINAL
�Q.GLG G f irC C O C7
(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 Recelpt No.
1 l- 2g