HomeMy WebLinkAboutBLD0274 Cancelled Laundry Room - BLD Permit / Conditions - 3/18/1985 BEERNINK, Lowell G. #0274
3-18-85
Treasure Island Lot 191
P. 0. LBox 26
Grapeview 98546 275-2297
Contractor
_ Laundry Room Ewing Cont.
$3,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER NAME
MAIL ADDRESS CITY&STATE ZIP PHONE
�o L G. 3��tN►N rc P, o, Box �6 GRAPE t EW I,dA. 9�s�6 ��s•�1 --,
DIRECTIONS
TO JOB SITE
(❑ SEE ATTACHED SHEET)
LEGAL � 91 TRLx A SuRIE
DESCR. LOT PHONE
NAME MAIL ADDRESS CITY&STATE LICENSE NO.
CONTRACTOR d e O�r 5 / C /3�/ O/v [� � ,27S.S
USE OF
BUILDING µ n, / O 1krx—
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
PLAN CHECK FEE PERMIT FEE v
Valuation of work:$a 3 s
o vo. '9
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACHED ❑ OR AIR CONDITIONING.
NO. OF STORIES BASEMENT ❑ DETACHED ❑
TOTAL SQ. FT. FIREPLACE ❑ 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
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am aware of the6FjOR OFFICE USE ONLY
ordinance requirements regulating the work for which
ONLY-
the permit is issued and all work done will be in SHORELINES ❑
conforma ce therewith. FLOODPLAIN Ll
Firm EEH.EALTH
D. NO. S.E.P.A. ❑
provals
IN OUT YES APPROVED NO
By
Lic. Date
G DEPT.
DEPT.
OWNERS AFFIDAVITWORKS
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 and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS ECK BY ABPPROVED OR ISSUANCE
Owner Date.
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY
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
Application date
Signature of applicant 7Address
LEGAL DESCRIPTION
.�-
Location
Of
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS .O�
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS •!J
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
PERMIT ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee �-b Date pemit Issued Permit number Receipt No.
$ /•