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Home My WebLink AboutBLD10618 SFR/Garage - BLD Application - 5/20/1981 MW oz a a Col 33 BUILDING PERMIT APPLICATION �e MASON COUNTY P.O. Box 186 Shelton, Washington 98584 ti"�Jf'ySO� 426-5593 DATE ISSUED PERMITNO. r OWNER AM MAIL ADDRESS CITY& ATE ZIP,.w E � >1 So �, a O-$ - 3-7 DIRECTIONS TO JOB SITE �`S Im►�E'S 'Fvow. I 1�ntY� ©rKs 1TtshWa H!jhUAj 0ul4 Vitt►\. LEGAL r3 vt�r f^r�m�V�� L-o SH C 16 v, ( 2- `Z w ti 5 l- r p ':2 (EY�SEE ATTACHED SHEET) DESCR. I v1 �Ci� rllarn� a `eiu (jjaS NAME MAIL ADDRESS CITY&STATE LICSWSE NO. PHONE CONTRACTOR Ck's W USE OF f BUILDING Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: ® a , QC) Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: 7 BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS 1— TOTAL SO. FT, GARAGE 7-2ATTAC E SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT-0 OR AIR CONDITIONING. TOTAL SO. FT FIREPLACE DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR A FIDA�41T 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 c.dnt actor 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 SHORELINE SEASONAL ❑ FLOODPLAIN Firm E.D. NO. S.E.P.A. ❑ Special Approvals IN OUT YES APPROVED NO By Lic. No. Qom— �f)1�Date�2L ZONING OWNERS AFFIDAVIT HEALTH DEPT. 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. S/of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be i conformanc therewith. MOTOR VEHICLE PERMIT ICATION ACCEPTED BY PLANS CHECK BY APPROVED F R ISSUANCE Owner "" Date. � TO ens/ 04 z'AN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION K. 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. Contractor The owner of this building and the undersigned agree to cbnform to all applicable laws of Mason County and State of Washington Si ur o pplicant Address Application date `77 ' LEGAL DESCRIPTION �- C7vv� r% Lort S' c/ 'C� 7o'-w,-7.Sht .'Z 2 A/`E'r7A Location Of Q O d2 tI o c�,<�a rr� � / Fri a /S7QS�T.-� �6u�7 L•( yr Building NO.. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS ( SHOWERS Iz WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS 5k • Connect to City Sewer DISH WASHER / fi DISPOSAL 6e v URINAL J- -- �2 (Show Street Names & roperty Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK iL 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.