HomeMy WebLinkAboutBLD0395 Remodel - BLD Permit / Conditions T2M ' REMODEL
PenniOwnert No. 0 _ No. Flc rs 2 _ gq Ftg 616
Address�ET71 B bar Dr. Tel 275-3781 Date 5-6-86
v Gra eview Zip
Contractor Self
Address Zlp
Iegal Descriptron pirates Cove Div. 2 Bl. 5 Lot 15
Direction 'to project site
Off Grapeview Loop Rd.
Plumbing Viewer ove
Fireplace Deck Garage -Carport
Basement -Loft Other
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Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
conditions: FILL:
Mobile Uwe:
Smoke Det
Remarks:
Footing
Setback:
Fbundation
Walls:
Framing:
Fireplac L elf
Wood Stove:
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED10
PERMIT NO. el 3 9
OWNER �,-ME MAILADDRESS CITY&STATE
22� LG' ZIP PHONE
. /-/#1 L 13AR A4 R DIRECTIONS
TO JOB SITE pl k14 Tlp-8 Go al !Q G,0,4/Oe ue� L
L f
LEGAL
CONTRACTOR NAME ILADDRESS CITY&STATE LICENSE NO. ZIP
S P PHONE
USE OF
BUILDING
CLASS OF
WORK ✓ NEW ADDITION ALTERAT12 / REPAIR MOVE REMOVE
DESCRIBE
WORK
L
BEDROOMS__ DECKS CARPORT NOTICE
BATHROOMS 2 TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OF STORIES �. BASEMENT ATTACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SO.FT. `s21� FIREPLACE DETACHED COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
PERMANENT SHORELINE
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
✓
SEASON
OWN RSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CE TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O TAINING APPROVAL FROM THE BUILDING DEPARTMENT.
APPROVAL FROM THE BUILDING DEPARTMENT.
X OW _ DATE L� Z Z - Q X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT SPPROVEN
Yo DEPARTMENT APPROVED
YES NQ BUILDING VALUATION /�/ 000, o
HEALTH PUBLIC WORKS
PLANNING FIRE FEE
BUILDING PERMIT ,y S
D.O.T. BUILDING
PLAN CHECK _ d 0
SPECIAL CONDITIONS BUILDING GROUP
PRE-INSPECTION
'S �^ SHORELINE
PLANNING
PLUMBING o
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CH CK BY APPROVED FOR IS PERMIT VALIDATION STATE SURCHARGE
SUANCE
BY TOTAL ,
CASH CK MO Z 66
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 AR RAr'e e �1� �/6 275
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signet apprc* Address
Application date
E -71 13A rer xl,C e t
LEGAL DESCRIPTION
location
Of
Building
NO. PLUMBING FIXTURES FEE
X WATER CLOSETS
BASINS
x BATH TUBS
x SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
r
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT O v 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.
$ J4 ® 6,
CHRISTMASTOWN PRINTING