HomeMy WebLinkAboutBLD10892 Cabin with Concrete Floor - BLD Application - 7/2/1981 MASON COUNTY
a P.O. Box 186 Shelton, Washington 98584
`. � 426-5593
DATE ISSUED `
PERMIT NO. 99c;
OWNER NA MAIL ADDRESS CITY A4 ST TE ZIP PHONE
,� C S 7,' .S I{J r sr .�6
DIRECTIONS
TO JOB SITE C�) ,
LEGAL (❑SEE ATTACHED SHE/M
DESCR. Did o /V IE�
I' CONTRACTOR
NAME��� MAIL ADDFiESS CITY ISTATE LICENSE NO. PHONE� ,
L USE OF 1 A •
BUILDING / d A d P_
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE t
4
Describe work:
s �.0
a . s
Valuation of work: $ •, d PLAN CHECK FE 0-0 PERMIT F
SPECIAL CONDITIONS:
I
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SO. FT.)W GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING.' HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR COMA NO.
TOTAL SO. FT. FIREPLACE❑ DETACHED ❑
THIS PERMIT BECOMES NULL ANO,VOIO IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT [ZED IS NOT COMMENCED WITHIN'180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCER;
the State of Washington and I the
aware of the FOB FFICE USE ONLY
ordinance requirements.regulating the work for which
the permit is Issued and all work done will be in Al
conformance therewith. PERMANENTj SHORELINES
SEASONAL❑ FLOODPLAN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APP D NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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
of the Mason County ordinance requirements for EPT. G
which this permit is issued and that all work done will ROAD ACCESS
b conformance e rewi MOTOR VEHICLE PERMIT
ON PTED Y PLAN C BYAPPROVED FOR ISSUANCE
Ow er Date.1426
N' V
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
•
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MASON COUNTY PLANNIN0,00A►RTMENT
P.O.BOX 186 Shelton,'Washington 98W
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items.Malrit boxes where applicable.
Name Mailing address—Nundw,streart,city,and State Zip cods TN.No.
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 O
AUTO.WASHERS
SINKS gav
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sawer
DISH WASHER
DISPOSAL
URINAL
41 (Show Street Names B Property Lines)
�V INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT . SKETCH IN SEPTIC TANK i DRAIN FIELD LOCATION OR WAMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee oats pamit Issue Par nit number RsosW No.