HomeMy WebLinkAboutBLD10657 Solar - BLD Application - 5/27/1981 BUILDING PERMIT APPLICATION
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MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 =a 7 �
DATE ISSUED
PERMIT NO.
NAME // � . MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER E� Y d�O� 0 �E S —/�07
DIRECTIONS FOLLD w SIP �02 m ccys,� F.rry F ovrs Oas R 30�. ,~ Y
TO JOB SITE ,Q Shod ,CS O tl y+ST d pc6nl p RR y O f pleoP FGT
LEGAL So. /60 O 16 1PA/47 No. Fla �f' 0aerxv me-44 SOT`:3 (❑ SEE ATTACHED SHEET) 1
DESCR. lfb0'4) A, -roIw)iVSµ/ 13. A/* AVAJ6 tr / W Iwp./ft1po/ (Y 4 Of, wwfip kick tsf"& OI f/ffC
E S ,OFr� 1" OR`&&'STXrE WA/,0*yCyLICENSE NO. Sf /k/
NAME
CONTRACTOR NAME
USE OF L f Scc ZE �4o��'
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ElREPAIR El MOVE ElREMOVE
Describe work: (20 NC!ee 1_=
rL.0O �r
,L S 1 1qA
Zaluati n of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
SSI✓E �D moe
BEDROOMS �- I DECKS o CARPORT g.� NOTICE
BATHROOMS. TOTAL SQ. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT
BASEMENT ❑ JN"`� [DETACHED
ACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT/ FIREPLACE ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
QNTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
✓ t ��0 .3 z a SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
of WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am 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 SHORELIN S
conformance therewith. PERMANENT El
SEASONAL FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
APPROVED Special Approvals IN OUT YES NO
By
Date ZONING
Lic. No. a PLANNING DEPT.
HEALTH DEPT. p�
OWNERS AFFIDAVIT 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 'r
BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be ZcogOhrmance t th MOTOR VEHICLE PERMIT
h LI TION A EPTED BY PS CHECK Y By
FOR ISSUANCE
Owner Date 4�� io
P AN 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
2. I/1�
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 applic Address /�j ��0veg— Application date
LEGAL D SCRIPTION
® T � 3'
Location
Of Et/ ,[
Building
09 6fS
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS O
BASINS
BATH TUBS —
SHOWERS
ot
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer I
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
E _
SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
PERMIT ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved b Permit fee Date pemit issued Permit number Receipt No.
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