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HomeMy WebLinkAboutBLD5891 Final SFR - BLD Permit / Conditions - 2/22/1980 Mooers, Archie #5891 9-7-77 Haven Lake Lots 10 & 11 Contractor Lumbermen's Vacation Home Plumbing Permit issued $17,680.00 I� i I i _,. '�,. � � � '� c � � °� � � P -_ ! M . BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED 91-71-7 ,7 PERMIT NO. 91 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE C40,5 S -- IS33re -- .J - DIRECTIONS S 3—8 TO JOB SITE LEGAL (❑SEE ATTACHED SHEET) DESCR. 1 % dL �� 6�iVLf�/U I�•✓o`�C NAME MAIL ADDRESS � CITY&STATE LICENSE NO. PHONE CONTRACTOR W V A;S 6F &40:S �G�7 AzZ :5;�-X�47<0A) WO 'V USE OF BUILDING Class of work: EW f ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: © it S Valuation of work: $ fie" PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY APP ED FOR�I�jSUANCE Type of Occupancy Division B �� Const. Group Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT PERMANENT SEASONAL E.D.NUMBER I certify that I am a currently registered contractor in RESIDENCE the State of Washington and I am aware of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING HEALTH DEPT. �-- Firm PUBLIC WORKS By ROAD DEPT. Lic. Now -/j'!�" GtJ— T-3Z3 t� OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N O T I C E contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 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 Owner Date. WORK IS COMMENCED. N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 3 MASON COUNTY PLANNING DEPARTMENT P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT — Complete ALL items. Mark boxes where applicable. Name s Mailingaddress—Number,street,city,and State Zip code Tel.No.' oo vcyii,e U 1U t (I14 Cl jz" 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 Signatu applicant Address Application date LEGAL DESCRIPTION Location Of Building NO. PLUMBING FIXTURES FEE ' WATER CLOSETS 4z d f BASINS ,pa BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS 1 SINKS �QQ FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT �� 0_0 SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by 4 Permit fee Date pemit issued Permit number Receipt No.