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HomeMy WebLinkAboutBLD10064 SFR - BLD Permit / Conditions - 2/17/1981 Nichols, Clarence E. #10064 2-17-81 Treasure Island, Lot 168 Cross bridge to Treasure Is - go up hill to water tower - turn L and then keep to the R. until you come to the 4th speed bump. Lot is on your right. i Residence Contractor Lumbermen's Plumbing Permit $35,580.00 I I I �p ^� M Z "' '� �` r �� � � � � � � � � �� � � � � � o � � m � � �. � � � � N �� � � � o � � � � 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 DIRECTIONS TO JOB SITE LEGAL (O SEE ATTACHED SHEET) DESCR. p ,��,f U L� ,�S L /� NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR CJ/► ,6WIr •C> 13Q,,( 17e*510 USE OF BUILDING EC Class of work: URINEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: 113V _ PLAN CHECK FEE 00 PERMIT FEW 00 SPECIAL CONDITIONS: BEDROOMS 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. F 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 g y© 1-0FT SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER certify that I am a currently registered contractor 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 ❑ SHORELINES ❑ Firm�V����NI��s O� Y'Y/�.5� SEASONAL FLOODPLAIN ❑ C E.D. NO. S.E.P.A. ❑ By s-/? V'ef Special Approvals IN OUT YES APPROVED NO Lic. No. Date / ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL ontract or registration law RCW 18.27, and am aware UIL NG DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will AD CESS be in conformance therewith. M TOR EHICLE PER IT AP L ION ACC ZCHE % APP OVED FOR SUANCE (7 Owner Date. e �Iy 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. ,. CzAl?,E"�✓`ne A0 d 'rig/ O ,eit/ _ 5 W L V49. Owner L / s U 2. U/✓//3,�/d���iS D. 13Off` 00 4 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 /� C�/�/�j]�� Applicati n date LEGAL DESCRIPTION Location Of Building NO.. PLUMBING FIXTURES FEE WATER CLOSETS "7 BASINS '7 ° BATH TUBS L I SHOWERS CU r WATER HEATERS 00 AUTO.WASHERS thU SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer f DISH WASHER DISPOSAL URINAL — (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 psmit issued Permit number Recelpt No.