HomeMy WebLinkAboutBLD6309 SFR - BLD Permit / Conditions - 5/2/1980 VLLVr V�V/
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MK Otsby, Martin H.
#6309
5-2-80
Lot 60, Div. 3, Plat of Collins Lk.
Residence
Plumbing Permit
$91,223.00
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31 mm
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BUILDING PERMIT APPLICATION
• ,'� MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 _Z '
DATE ISSUED �1 eJ v
PERMIT NO. ��y
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
e C 2.�Q 900
DIRECTIONS
TO JOB SITE
LEGAL L'7— G0 Ai ✓IJ /W �'� ^T OF 0L4 INS (❑ SEE ATTACHED SHEET)
DESCR. AJ'a C G
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR / �,y � �� �
C1 ,0 �-
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
AlCkl
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑/ NOTICE
BATHROOMS .3 TOTAL SO. FT. GARAGE EJ1 720
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT a*4j02 ATTACHED -i OR AIR CONDITIONING.
TOTAL SO. FTo?0#2 FIREPLACE ❑ DETACHED I ]
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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
conformance therewith. PERMANENT ❑ SHORELINES I i
SEASONAL Fl FLOODPLAIN I I
Firm E.D. NO. S.E.P.A. I '
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I ce ify that I am exempt from the requirements of the FIRE MARSHAL
c tract or registration law RCW 18.27, and am aware BUILDING DEPT.
the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
MAPPTI:ONAaBY PLA CHECK BY APPROVED FOR ISSU NCE i
Owner � Date.
PLAN CHECK 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.
Owner _
7�
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
-32 WATER CLOSETS �* M . r)U
444
,7 BASINS 6-0 I wPTL1C s 47
BATH TUBS o"v ET"'`'
SHOWERS
j WATER HEATERS
y�
AUTO.WASHERS 3-d
SINKS CIO
/ FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer `
DISH WASHER a'
DISPOSAL O-()
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT j SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit tee Date pemit issued Permit number Receipt No.