HomeMy WebLinkAboutBLD15237 Remodel Bathroom - BLD Permit / Conditions - 3/8/1984 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUEDZ—
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE n ZIP PHONE
F."0\ P,U, A�� N (lL�A � 52 �2 7 -:43
DIRECTIONS r
TO JOB SITE C 1 W-P-3 Z—�- SJ—, T -70 Z-
LEGAL -�' (❑ SEE ATTACHED SHEET)
DESCR. S J?L /C7CU/7
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
R t-s ra
Valuation of work: $ Z � PLAN CHECK FEE PERMIT FEE �� w
SPECIAL CONDITIONS:
BEDROOMS I DECKS _ CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE L'
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ATTACHED Li OR AIR CONDITIONING.
TOTAL SQ. F FIREPLACE [J 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
c nformance therewith. PERMANENT SHORELINES
SEASONAL [- FLOODPLAIN
Firm E.D. NO. S.E.P.A. L
By Special Approvals IN OUT YES APPROVED NO
Date ZONING
1
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. sj
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in confo a herewith. MOTOR VEHICLE PERMIT
D �J` A LIGATION ACCEPTED BY PLANS BY APPROVED FOR ISSUANCE
Ow r Date
t
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
KNIGHT, Richard A. #15237
3-8-84
Town of Allyn Plat
Bl. 43, Lots 7,8,9 & 10
P. 0. Box 84
Allyn, Wn. 98524 275-6305
Contractor
Jim Jesf ield
Rip out Bathroom & Install new
E 31 Wade S t. in
$12,500.00 Allyn\at intersection
of Hwy 3 & 302