HomeMy WebLinkAboutBLD7382 FINAL PASS - BLD Permit / Conditions - 11/17/1980 Hunter, Neva #7382
9-10-80
St. Rt. 1, Box 255 - Union
5 mi. past, Union post office - 7/10 mi. past Casa De
Canal Mexican Restaurant
Little Paris Tracts E 1/2 of Tr. 9 & T.L., Tr. 10 thru
12 & T.L. A
Addition Wood Stove
Plumbing Permit
Contractor
Renecker Construction
$19,500.00
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'A� F ' ° ✓` BUILDING PERMIT APPLICATION
I r MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _ 110
DATE ISSUED 7 2 Q
PERMIT NO. 73 v
OWNER NAM ADDRE CITY 8 STATE ZIP PHONE
DIRECTIO S
TO JOB SITE
LEGAL / (0 SEE ATTACHED SHE"
DESC Z T. �. [, '7y- YC1 4 T, 4 ,
CONTRACTOR
E MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
v ,
USE OF
BUILDIN �
Class of work: ❑ XEW ADDITION ❑ ALTER IO ❑ REPAIR ❑ K44VE ❑ RE OV
Describe work:
e
Valuation of work: �Q PLAN CHECK FEE � PERMIT FEE
SPECIAL CONDITIONS: ;
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will R A ACCESS
be in conformance
etth',erewith. QQ OT R VEHICLE PERMIT
�,�$ Date �O OC� AP ATION AC BY PLANS CHECK BY ABYPROV FOR 1 UANCE
CK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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MASON COUNTY PLANNING DEPARTMENT
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. ,
1.
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
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& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
by Permit fee Date pemit issued Permit number Receipt No.73
901 31no i �ivis
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