HomeMy WebLinkAboutBLD0332 SFR - BLD Application - 7/30/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. O3
OWNER NAME_ MAIL ADDRESS CITY&STATE ZIP PHONE
/V
DIRECTIONS
TO JOB SITE (oT hgs 63a C feoa ,g i&,' Le u e I e•f Fop— Mouse
LEGAL (❑ SEE ATTACHED SHEET)
DEscR. 1�07 �aN TR -v ZS��w� rV V I 14- T4 l m
NAME MAIL ADDRESS CITY 6 STATLV LICENSE NO. PHONE
CONTRACTOR
/0 Nu c
USE OF
BUILDING V ,4
Class of work: )KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
T / vc,Tr m,6e A140-vU J�16,/N
/.,a T ire u.��.p, io.V Ai..� C o.v sTR vcTrd�.>
F J{rivs�.
Valuation of work: $ PLAN CHECK FEE PERMIT FEE O c7
3: 62 q.
SPECIAL CONDITIONS: V << ��
• s
BEDROOMS DECKS CARPORT ❑ NOT I C E
BATHR OMS TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 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 ❑
u
Firm "uAle y eayoieucriuw EA&%. SEASONAL ❑ FLOODPLAIN ❑
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. i/vie a cAr 1$9 DAJ Date 7-20" 8'S ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH 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 5
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith.
MOTOR VEHICLE PERMIT
Owner e�1ll Date.��'��S APPLICATION ACCEPTED BY PLANS CHECK BY APPR VED FOR ISSUANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
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.
,. F � Tti F Tel! R�vR� 83-D7N!
Owner
2. /l w
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
'& 30 qEaA 100, Jc
LEGAL DESCRIPTION
Location U Pv . V. K F
OF
Of _
Building * t , O!t
kNO.. PLUMBING FIXTURES FEE
a WATER CLOSETS O M ;
BASINS p C7
BATHTUBS Lf,OO PAD Li�v�
2 SHOWERS O 0
WATER HEATERS p d
AUTO.WASHERS �•
Lict ,D 0
SINKS v,
FLOOR DRAINS
DRINKING FOUNTAINS d
LAUNDRY TRAYS !•
� r
Connect to City Sewer �j5� a
r` a
DISH WASHER
DISPOSAL
URINAL C
TREA�vreE Zsl• AQ�vE ,
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT �j O 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 pemit issued Permit number Receipt No.
$
CHRISTMASTOWN PRINTING