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HomeMy WebLinkAboutBLD10446 SFR - BLD Permit / Conditions - 4/23/1981 TOTS, Waltar Jr. 04-23-81 Grapeview A Tract of Land in G.L. 8, See-' 8, TVp 21, Rge 1 sfr.f�! I:�• C"t ractor Jam", ' oti Resid ence Plumbing Permit ' 0650000.fl0 f � z i �j _5 y I MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY&.STATE ZIP PHONE � 4�rIFI? v 7 ,P' 1. s, A44 1 DIRECTIONS TO JOB SITE LEGAL ir EE ATTACHED SHEET) DESCR. CONTRACTOR NAME MAIL ADDRESS: CITY Q STATE LICENSE NO. PHONE USE OF BUILDING P-05, <`O�i' ,„�! " • Class of work: f NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ R MOVE Describe work: .tor/ Gs. o oo. o a Valuation of work: $ PLAN CHECK FEE ��,� �O PERMIT FEE�a,? re SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT❑ NOTICE BATHROOMS _ TOTAL SO, FT,/ea GARAGE ❑ ATTACHED❑ SEPARATE:PERMITS,ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT❑ OR'AIR CONDITIONING. TOTAL SQ. FT.AriW. FIREPLACEa DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- 1841ff CONTRACTOR AFFIDAVIT RED IS NOT CC"MENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A'PERIOD OF 180 DAYS AT ANY TIME AFTER 1 certify that I am a currently registered contractor In WORK IS COMMENCED. the ant the of Washington and F aware .of the FOR OFFICE USE ON L"T ordinance requirements regulating the work for which the permit Is issued and all work done will be in conformance therewith. PERMANENT 0 SHORELINES ❑ I�JR�4zo- f f� �� s�`� SEASONAL ElFLOODPLAIN Firm E.D. NO S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVIIS NO ZONING Lic. No 223 "0/ A✓(•-©r-, Date 0- OWNERS AFFIDAVIT H LTHI.DEPT. I certify that I am exempt from the requirements of the FiRE'MARSHAL contract or registration law RCW 18. T, abd am aware of the Mason County ordinance requirements for BUILDING DEPT. /D / which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT �'-"� L TION AC09PTED BY P CHECK B APPROVED FOR ISSUANCE 1�d / le Date.Owner ���4� N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH r MASON COUNTY P,�ANNVIIQ DEPARTMENT P.O.BOX 186 Shelton,'Washington 99W PLUMBING PERMIT,APPL.ICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. Nam 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 Signature of applicant Address Application date �,1�' OP/ LEGAL DESCRIPTION Location Of Building NO PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS 0 a0 SHOWERS .b WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS F'O 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 pemit Issued Permit number RecNpt No. s a3