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Home My WebLink AboutBLD2090 Final SFR - BLD Permit / Conditions - 10/4/1979 $helton Construction Inc. 6-12 ' 6-12-79 Lynch Cove Div. 3 Lot 76 Plumbing Permit Residence $25,000.00 , � r 8 � � O r � v � � v � �a .� � - . BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED—1 2— 79 PERMIT NO. �0 L?d OWNER Shel on Construction, Yn'0.DDRF�$ar Rt. 1 - Box T� &STgTelfair, Wa 985% 426-M68 DIRECTIONS C y tie TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR. Lot 76 - Division 3 - Lynch Cove NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR Same as above SH EL-TC-260PT USE OF BUILDING Residence Class of work: IM NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $25,000. PLAN CHECK FEE PERMIT FEE�� SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. 1012 GARAGE A SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES 1 BASEMENT ElATTACHED EX OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE"? DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT 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 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 El FLOODPLAIN ❑ Firm Shelton Co ruction Inc. E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO SH EL-TC-260PT 6/12/79 ZONING Lic. No. Date PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. r3 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 ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date jthxJIM PLAN CHECK VALIDATION CK. M.O. CASH PERMIT 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. �. Shelton Const. Inc. Star Rt.l - Box 2 - Belfair, Wa 98528 26 1600 Owner z. Keith Plumbing 203 W. Poplar - Shelton, Wa 98584 426-2495 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 ISt.Rt.1 - Box 29 - Belfair, Wa 6/23/79 LEGAL DESCRIPTION Location Of Lot 76 - Divison 3 - Lynch Cove Building NO.. PLUMBING FIXTURES FEE 1` WATER CLOSETS 1 BASINS 1 BATH TUBS COmbo Unitg SHOWERS 1 WATER HEATERS 1 AUTO.WASHERS 1 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 Approved by Permit fee Date pemit issued Permit number Receipt No. PLOT PLAN ADDRESS PERMIT NO. C c = s R s LEGAL DESCRIPTION LOT :Z6 BLK Div. I ADDITION Lvnch Cove a SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT N THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE O� -11 FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) D FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF 0 I PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- 0 d SIONS.SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION P•ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL I.I. SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. n C* D W � W i INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' �_i 0 0 n CD r �S S F + r � n I . h I/We certify that the proposed construction will conform to the dimensiolns and uses shown above and that no changes will be made without first obtaining approval. Shelton Construction, Inc. NAME(S) OF OWNER(S) OF SITE a STRUCTURES) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTING