HomeMy WebLinkAboutBLD11835 SFR - BLD Inspections - 12/10/1981 i
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Wilson, Larry #11835
(426-0643)- 12/10/81
N 1/2 NE _S`.1/4, 7-21-1 `
3rd driveway, right hand side of No. rd ra
from corner, 4002 - 5001
Residence Contractor;
(Change from Garage #7084) Self
$14,994.00 Plumbing Permit
#11341
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /d _
DATE ISSUED
PERMIT NO. AY 36—
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
W/ s o"1 ki F3 0/ r
DIRECTIONS
TO JOB SITE �d ` f O G �" oc;
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. A �2A,16
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF f
BUILDING cA4#w#,e Or dSL` /'/ZOM G�3RigG-E "�v /�,ES/D�fNCf
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
OW L,�7 r'i?r�i% v O
G�4iPw6 i � iYcC=
70 ya / 53 "' /
Valuation of work: $ PLAN CHECK FEE �/ PERMIT FE
f — � //D s a
SPECIAL CONDITION : f evo,/
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered Contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FO 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 ❑ 1714,,
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT 0,&- �`"/L'E 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 BUILING DEPT. / � ) S
of the Mason County ordinance requirements for 7
which this permit is issued and that all work done will ROAD ACCESS
be in conformance th r!with. MOTOR VEHICLE PERMIT
f r r5— �� AWICATIONYA CEDED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner; �<r% t, -�t`•� Date. � BY
Pv CHECK VALIDATION CK,. M.O. CASH U kRMIT 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.
1.
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
Signs re of ap scant Address Application date
LEGAL DESCRIPTION
LocationOf
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer `
DISH WASHER i
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK 3 DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pe emit-issued Permit number Receipt No.
$ / ��j �/C7 �j