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HomeMy WebLinkAboutBLD2148 SFR - BLD Permit / Conditions - 5/8/1978 f -#U4DWG-P0ffi1T APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98W DATE ISSUED PERMIT NO. OWNE NAME AI DRESS GTY STA ZIP PHONE $ 1. TO JOB SITE LEGAL y . / (d SEE A AHED SHEET) DESCR. N ". MAIL ADDRESS CITY a TE LICENSE NO. PHONE ,[� CONTRACTOR 0 :Do � � U USE OF Jed 114119 BUILDING Class of work: NEW © ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: !I .Okuvii IL:c 6zim 1+ -7 7 21 Valuation of work: $ PLAN CHECK FEE PERMIT FEE i SPECIAL CONDITIONS: PPLICATION ACCEPTED B PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division 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 Firm /X E HEALTH DEPT. / J `LF� 1T�-/� - PUBLIG WORKS By ROAD DEPT. 1!Lie. No- SiLE'QbQ24271 Date OWNERS AFFIDAVIT I certify that 1 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 Own r Date- WORK IS COMMENCED. 7 i2� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O.' CASH "FAASON COONTY PLANNING DERARTMENT P.O.BOX 186 Shelton'Washington 96W PLUMBING PERMIT APPLICATION IMPORTANT-Complete ALL Items.-Mark boxes where applicable. Name Mailing address Number,street,city,and State Zip code Tel.No. t f 1. Owner 2. Contractor The owner of this building and the undefsl!x agree to c form to all applicable laws of Mason County and State of Washington Signature of appli Address Appli tlon dat 17 GAL ES 44 CRIPTION -AJ Location Of Building j NO. PLUMBING FIXTURES FEE t j WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS \ DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer ` DISH WASHER DISPOSAL URINAL II (Show Street-Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT - SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE r y Permit fee Date pemit Issued Permit number Recelpt No. Tyee Well Drilling2148 5-8-78 i S8 1/4 SW 1/4 32-22-1 Tr. 4 Sbart Plat 331 t Grapeviev road from Allyn 1/2 sile before Treasure Island load. j Residence I $27,000.00 ' r T� 9 '7� . �T v �' �1 � i "r ,, � � � �l rt � � ► p � p � � \��