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HomeMy WebLinkAboutBLD10990 SFR - BLD Inspections - 7/13/1981 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED— PERMIT NO. / OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE Cl/!l�l���/� �v� F ©�' �/7't�`mc�f s i — •t�'� 03� f�SSt DIRECTIONS TO JOB SITECA�p / /d! 9 / /P�'7'} Sd�QE� :SG/tr1/'n8 •-7 LEGAL SEE ATTACHED SHE DESCR. �%/Cf, �t71J"d�'E'--l.f' yl� T �ie:"FD�PDE'.D /i✓ e e' NAME MAIL ADDRESS CITY&STATE LICENS NO. PHONE CONTRACTOR USE OF BUILDING Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ , N PLA CHEC PERMIT FEE ` FEE CIAL CONDITIONS: BEDROOMS I DECKS—� CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT4�0 GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIE BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. 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 I am a currently registered contractor in j 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 SHORELINES _ �ll/�F�' � SEASONAL ❑ FLOODPLAIN El Firm C E.D. NO. S.E.P.A. By Special Approvals IN OUT YES APPROVED NO Lie. No. Date ZO PLANN T. OWNERS AFFIDAVIT HE TH DEPT. 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued a that all work done will ROAD ACCESS be in nformance therewith. MOTOR VEHICLE PERMIT �11SPLI ATION AgPEPTED PY PLAN$CHECK By APPROVED FOR ISSUANCE Own e _= to. ~' a' By 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. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Sig ure f applicant Address Application date LEGAL D SCRIPTION Location 77 Of Building NO. PLUMBING FIXTURES FEE 1' WATER CLOSETS BASINS ©2 ov BATH TUBS SHOWERS / WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS _ Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK 6 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. � UL HEUTMAKER, Duane H. #10990 1203 E. Hemlock St. , Kent 07-13-81 d M`5-d-4`3 i � Lot 109, Treasure Island Residence Contractor - Self $31,281.00 Wood Stove/Plumbing Permit Shoreline Exemption a`_,.,. �� � ��` e� � \/ �' �- � � /,,� � � � � y,, i � � � � � ��. o �.,