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HomeMy WebLinkAboutBLD18613 Final Addition - BLD Permit / Conditions - 10/27/1986 BUS FIE TAPPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. U� OWNER Ljoj� NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE n M. I1 1� Z �7 -Z11 DIRECTIONS TO JOB SITE LEGAL G (0 SEE ATTACHED SHEET) DESCR. TY, O 6r. CONTRACTORNAME MAIL ADDRESS CITY&S ATE LICENSE NO. PHONE USE OF 4f + 1Af2i 7 BUILDING � / 7-/ Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 4-2 �/�•,�-� S�c�a-� zS�z r�is-oorr> A Valuation of work: $ PLAN CHECK FEE PERMIT FEEs O SPECIAL 'CONDITIONS: T �" r BEDROOMS DECKS CARPORT❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STO IES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. T. FIREPLACE ❑ DETACHED ❑ �,�� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT 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 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 ii the permit is Issued and all work done will be in conformance therewith. PERMANENT SHORELINES SEASONAL❑ FLOODPLAIN ❑ Fir E.D. NO. S.E.P.A. ❑ i By Special Approvals IN OUT YES AP D NO 1 Lic. No. rid Vh 1!L 1�'il"9 Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT - - PUBLIC WORKS 1 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 b anc therewith. MOTOR VEHICLE PERMIT \ 9 C APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED OR ISSUANCE O ft@� Date. BY , PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH CHRISTMASTOWN PRINTING 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,"State Zip code Tel.No. J 9�s�4 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 S f1011can Address Application date )V M. , %n ot9 ,1 a g( GAL E RIPTION 3--—'Z2.Z--— Location n ' G- 1. Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS G BASINS BATH TUBS SHOWERS ,®� WATER HEATERS AUTO.WASHERS SINKS 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 SKETCH IN SEPTIC TANK 3 DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE 1N THIS SPACE =— FOR OFFICE USE Approved by --- Permit fee Date WWI issued It number Receipt No. 6fd � A f6 /3 CHROTMASTOWN MN71NG PLOT PLAN ADDRESS ` - I l.i.I��CLL,(I S t 1T ���►EI PERMIT NO. Cy k"ny- lve_dYaovr. *, 6 LEGAL ' DESCRIPTION LOT BLK ADDITION ROU Zinj "room L- SITE AREA Sq.Ft. AREA OF SITE OCOMIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PI.OT PLANS,ORAMMN TO SCALE OF NOT LESS THAN 1"-2W ARE FILED WITH PERMIT'AFPLICA flN. (EACH ltrN_LDI!N04M MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUIkgN 8 / VIDE THE POLL I LION IN THE S! OIAi:` TION OF PR�D C EXISTI i `fY!91 M IN TH NG .A1�fQ DIN- ,FIRST FLOOR ELEVATION. ET ELEVI►- S'ff'I��GN AMIIEE t1SIIViCE VA LDCA OF WATER, SEIMER. QAS AND ELECTRICAL SERVICE LINES. OIN`LOCATION OF SURVEN#r 'FECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE 3�©I GRAPH SQUARES ARE 5' X 5' OR 1"=20' a 5 � �S N O G AQ I/MMa owtft than tM propoaad comtrugtion w! bna and Ilya shown above and that no changes will be made without first obtaining approval. 'NAUXIIIII OF OWNI9XJSj OF 91TR •s RU TUR sl WIN 00 Iti TN /N APPROVED GATE DISTRICT AS NOTED CHRISTMASTOWN PRINTING 1 171 i Be Other Enlarge hedroon, add 2nd bath i relines: P ag& 1i VIssr6 t� POnditionsa QUM mobil& EkWA: • �i Pbundation Walls: A 9 replaces: ;Wood Stover i