HomeMy WebLinkAboutBLD10770 SFR, Wood Stove and Decks - BLD Inspections - 6/12/1981 Newman, Courtney R. #10770
6-12-81
Lake Cushman Div. 3 Lot 50
Residence w/wood stove & Decks
$54,076.00 Plumbing Permit
Wood Stove Permit/#12816
Issued 8/5/82
i
,.r
BU/1 p/
NG PERMITAPPL/CAT/
MAS p
P.O. BOX 186 ON C�UNr y N
Shelton, Washington 98584
426-5593
OWNER NAME
DATEISSUED
DIRECTIONS MAIL ADDRESS
TO JOB SITE PERMIT NO. f
LEGAL - - -�`� CITYaSTATE
DESCR. - zIP
V 'rlG PHONE
CONTRACTOR NAME �Q ,
USE OF -1W MAIL ADDRESS (❑SEE
BUILDING e141 ar ,� A7TA CHEDSHEE
T)
Class pf work: .47-r 7` LICEN
NE SE NO.
W Describ work ❑ ADDITION �J7' PHONE
❑ ALTERATION ❑ REPAIR 7
T ❑ MOVE ❑ REMOVE
;0-0
aluation
°f work: $ ! (J
'ECIAL CONDITIONS: yo
ONS: PLAN CHECK F
EE
PERMIT FEE
BOOMS -9 Q,'1
'ROOMS
)F STORIES TO7-) j SQ. Ft S �.r CARPOR _
SQ FTIy BASEMENT❑ GARAGE /moo
FIREPLACE ❑ ATTACHED
DETACH SEPARATE N07-ICE
CONTRACTOR
DETACHED TLSE OR AIR CONDEROMN NG RE REQUIRED F
certify that I am CTOR AFFIDAVIT FOR
`he Of THIS P ECO PLUMBING, HEATING y
a curve ERMIT
>rdinstate Washin ntly registered IZED IS NOTCp MES NULL AND ENTILATING
ance re 9ton and contractor SUSPEND MMENCED VOID IF
5e Permit quirements regulatinl am aware of the WORK IS CpMM ABANDONED FIN 180 DgySwoRR FOR CONSTRUCTIO
�nforman Is issued and g the Work ENCED. FOR PERIOD CONSTRUCTIO N AUTHOR-
is
therewith. all work d for which NOR WORK IS
OF 180 DA YS AT ANY TI R WORK I
one will be in ':
PERMANENT OR OFFICE USE ONLY
SEASONAL EDD SHORELINES
�- E.D. No. FLOODP
- LAIN
Date Special Approvals S-E•P•A• ❑
ZONING IN
OUT
II OWNERS AFFIDAVIT PLANNING DEPT. YES APPROVED
Y that I . exe HEALTHNO
act or registratiO pt from the re DEPT. _
n law RC requirements Of the PUBLIC WORKS
Mason Count W r8•27, and
this perm) Y Ordinanc am aware
:onfor t Is Issued and that allquirements FIRE MARSHAL
mance therewith• work done for BUILDING DEPT.
will
ROAD ACCESS
ate. G=- � MOTOR VEHICLE PERM
LIC 17
ACIDATIO ION ACCEPTED BY
N CK. M.O. PLANS CHECK BY
CASH AP F �
ISjQ AN E
PERMIT �... ._ '
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
Name IMPORTANT—Complete ALL items. Mark boxes where applicable.
Mailing address—Number,street,city,and State
1.
Owner 3�_ , Zip code Tel.No.
,
2. �f 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
L AL DES RIPTION
Location ��t `�_,(-c%�,�'�-,n.,,p�� •3
Of \
Building
NO.
PLUMBING FIXTURES
Q� WATER CLOSETS FEE
BASINS
BATH TUBS
SHOWERS 62
WATER HEATERS
I AUTO.WASHERS
I
SINKS ' �t
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER I \
I
DISPOSAL
^• URINAL
I
PERMIT (Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
Approved by
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
--—_
:I—
mitfee ---------Date pemit issued�� Permit number Receipt No.
----- -�' -- / /0 77C�