HomeMy WebLinkAboutBLD0328 Final SFR - BLD Permit / Conditions - 9/24/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 f 3 g DATE ISSUED
PERMIT NO.
OWNER ME IL ADDRES CITY T ZIP PHONE
DIRECTIONS
TO JOB SITE v pj��Q -1K/
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 3 -,7-7
N CONTRACTOR MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
S;&
USE OF
BUILDING Ae-Cj d92�
Class of work: JEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ P�LA.ALCHEECC FE
3� , � o a PERMIT3E 5
'7
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ �N NOTICE
S BATHROOM _ TOTAL SO. FT. Cam_ GARAGE' O�
ATTACHED7�. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ LOR AIR CONDITIONING.
TOTAL SO. FT. OO 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 certif that of I am a currently registered contractor in WORK IS COMMENCED.
the ate of Washington and I am aware of the FOR OFFICE USE ONLY
ordi ance requirements regulating the work for which
th permit is issued and all work done will be in
c formance 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. ~8-8-5
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. / c of the Mason County ordinance requirements for
which this permit is ' sued and that all work done will ROAD ACCESS
be in conformanc erewith. Q MOTOR VEHICLE PERMIT
Owne Date,v PPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
.� B �
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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,and State Zip code Tel.No.
1. 69,6 ! 9yS
Owner
2. S'
Contractor
The owner of this building and the unders' ned agree to conform to all applicable laws of Mason County and State of Washington
Signature of ap nt Address Application date
LEGAL DESCRIPTION
Location
Of Cll7/L� ,SIN"
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS p O
BASINS O d
BATH TUBS
SHOWER$
WATER HEATERS D
AUTO.WASHERS
SINKS p L�
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL 11
URINAL
0
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT �j�O 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.
$
■fM■■■/■■■■■■■■■■■■■■■■■■. ■■■
TYPE RESIDENCE
Permit No. 0328 No. Floors 1 Sq Ftg 1008
Owner SOLTIS, INC. . Robert Tel %75-4477 Date a-7 ,3-R5
Address P. 0. Box 767 Belfair Zip
Contractor Self
Address Zip
Legal Description .Lynch Cove Div. 3. Lot 77
Direction to project site
NE 10 Lorraine Ct.
Plumbing x Mechanical Sewer Wood Stove
Fireplace Deck Garage _ Carport
Basement Loft Other
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