HomeMy WebLinkAboutBLD17549 Final Alterations - BLD Permit / Conditions - 7/25/1985 BU' ' AMATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _ ���•�J
DATE ISSUED
PERMIT NO.
OWNER E OM J MAIL ADDRESS /J 7 T STATE S PHONE
DIRECTIONS r 7
TO JOB SITE `
LEGAL ] •--� (❑SEA CHED SHEET)
DESCR. f� /�j VL.J /g'? ✓ �nQGr 7 %5
CONTRACTOR NAME MAIL A ESS CITY d STATE LICENSE NO. PHONE
a .1 � 1 6 z
USE OF _
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ /-' PLAN CHECK FEE PERMIT FEE.. D
Y, 0, q So .
SPECIAL CONDITIONS:
BEDROOMST DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REWIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR Af FIDAVIT 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 certif hat I am a currently registered contractor in WORK IS COMMENCED.
the to of Washington and I am aware of the ROFFICE U LY
ordi nce requirements regulating the work for which
th permit is issued and all work done will be in
nformance therewith. PERMANENT ❑ SHORELINES
SEASONAL FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES AP D NO
i
Lic. No. Date ZONING
PLANNING DEPT. 3- 'g5 5- 7'SS 6V--
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. /?
of 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
APPLICATION ACCEPTED BY PLA CHECK BY APPROVW FOR ISSUANCE
Ow Date.—_8 -- " I
e
i
PLAN CHECK VALIDATION CK; M.O. CASH PERMIT VALIDATION CK. M.O. CASH
j CHRISTMASTOWN PRINTING
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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
2.
Contractor
7 -:V5 j
The owner of this building and the undersigned agree to conform All applicable laws of Mason County and State of Washington
Signature of applicant Address J�f Application date
LEGAL DESCRIPTION
Location
Of
Building
Na PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS a m v
WATER HEATERS ar d
AUTO.WASHERS
l SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sews,
DISH WASHER
DISPOSAL
URINAL
asp
(Show Street Names 6 Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 3 Q SKETCH IN SEPTIC TANK• DRAIN FIELD LOCATION OR SWMIT
ON OTHER SKETCH.
DO NOT.WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date,pernit Issued Permit number Receipt No:
a/3. ® c7
CHRISTMASTOWN PRINTING
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CUFF, Eleanor �#17549
4w 1s-85
P. 0. Box 748 Allyn 98524
18 miles North of Shelton turn right on GrapeView
Loop & go about 1/2 mile.
Contractor
Darrel Hunsaka
Alterations
$4,50 o 00 �l lurrl y
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