HomeMy WebLinkAboutBLD12049 Final Add Den and Sewing Room - BLD Permit / Conditions - 2/22/1982 i - BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED C�
PERMIT NO. /�O
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. -vawr, 1 V isi
NAME MAIL ADDRESS J CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF l,
BUILDING l�►l� m5
Class of work: ❑ NEW &ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
d, nd "I
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
Qi �.
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOT I C E
BATHROOMS TOTAL SO. FT. GARAGE
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. 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
PLAN N EPT.
OWNERS AFFIDAVIT <
EALTH 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
of the Mason County ordinance requirements for BUILDING DEP 1
which this permit is issued and that all work done will R SS
be in conformance t with. MOTOR VEHICLE PERMIT
AP ICATION CCE TED BY PLANS HECK BY/ APPROVED FOR ISSUANCE
Ow
G Date�A �$Z BY
P N CHECK VALIDATION CK. M.O. CASH IrERMIT VALIDATION CK. M.O. CASH
` 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.
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 rJ
1 BASINS pJ�
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer `
DISH WASHER
DISPOSAL
URINAL
42
(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 IN THIS SPACE — FOR OFFICE USE
Ap rov by Permit fee Date pemit issued Permit number Receipt No.
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Johnson, Eric P. #12049
(426-6360) 2/22/82
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Faun Lake, Division 1, Lot 4
SE 11 Foxglove, Shelton
Addition Contractor:
(Den & Swing Room) Dave Hardie
$14,4U0.00 Plumbing Permit #13630,
Issued 2/23/83
**Two Bedroom only.
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