HomeMy WebLinkAboutBLD9986 Cancelled Alteration - BLD Permit / Conditions - 12/7/1982 Smith, Bill #9986
782-6520, Seattle 12/7/82
Madrona Morningside Beach Tracts #2, Tract 6
Same
Alteration Contractor:
728 Sq. Ft. Olsen Const.
$31,000.00 Plumbing Permit
Shoreline Exemption
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 J /
DATE ISSUED.. ! J /�
PERMIT NO.
OWNER / � M L A DRES CITY STATE
/,�
DIRECTIONS PHONE
W
TO JOB SITE a
LEGAL
DESCR. (❑ SEE ATTACHED SHEET) Z s
`
CONTRACTOR
NAME le Z -� �i
MAIL A SS CITY&STATE
� LICE SE NO. PHONE
S
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION A-CLTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describp
Valuation of work: $ d PLAN CHECK
FEE
a O O, O PERMIT FEE C3
SPECIAL CONDITIONS: —p
tcg—
ENO.
ZOFSTOURIE ;BASEMENT
EM7
NOTICE
TE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
[:07C
ONDITIONING.
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
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 am aware of the
ordinance requirements regulating the work for which FOR OFFICE US ' ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES
'irmm ��' ? �.�5 SEASONAL ❑ FLOODPLAIN ❑
E;D. NO. S.E.P.A. ❑
y EHEALTHDEPT.
ovals IN OUT Y APPROVED
ES
ic. No `-S ��'i(/C, 2/f�s Date / NO
DEPT.
OWNERS AFFIDAVIT PT.RKSI certify that I am exempt from the requirements of thecontract or registration law RCW 18.27, and am awareHALof the Mason County ordinance requirements for EPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith.
MOTOR VEHICLE PERMIT
Date
APPLICATION ACCEPTED BY PLAN HECK BY APPROVED FOR ISSUANCE
/ _ J
4ECK VALIDATION CK. M.O. CASH PERMIT 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.No.
t.
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
LEGAL DESCRIPTION
Location
Of
Building
NO.. PLUMBING FIXTURES
FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
�dd
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
PERMIT INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
"aD 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 Recelpt No.