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HomeMy WebLinkAboutBLD9956 Cancelled Addition - BLD Permit / Conditions - 9/9/1982 �4 Cd as 0 0 0 4-1 41 rA bo r-) -H C14 cd 00 1.4 GI Ln 41 m 0 0 0 mft at J., 4J cd 0 41 0 41 bo 0 4J r. 41 0 H > U) 0 0 -r4 0 0 0 44 cob pq co pq cj 4) 41 r- O co 0 0 �4 NO n W 4J 4J ,z 'o -r4 bo r-i cv) Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing:' Mechanical: Roof: Exterior: Interior: Final: Stop Work: Mobile Home: Smoke Detector: Remarks: t BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS A CITY 8 STATE r ZIP PHONE � OWNER rn` �-, l �� EI CIS SHD D #.Z w.4 310 3 b CT TO JOBIONS SITE ON N09TA SMOPX KD 9 AT LYNCt4 (IVE VT oN 0AIAT146ty KT SRSi zA kJAioa LEGAL (❑ SEE A ACHED SHEET) DESCR. LYNCH{ C4911,1E (6CLFA10,) Division( 4 LoT 23 NAME MAIL ADDRESS CITY a STATE LICENSE NO. P CONTRACTOR + &MS7r, 'T#*11 � , Lonclimit USE OF T ^�-�1�-' BUILDING P E S t D E N CjF Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 2t i�f 5E P Ra0M ON aF�TN Sl DE- 6 F o GQnt�T 2.v ref' M xt 25Tl NC-i TWO k6 Valuation of work: $ T+ ,4 r_. 1- 160.0 /O.© Q PLAN CHECK FEOt -?5" PERMIT FEE D,54, rn SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR 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 niec SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. to 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. 2 42Z g'2 D of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS bbe� in c nfoor nce therewith.61 A MOTOR VEHICLE PERMIT ' " /1 e� APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner !r Dat� ///"`'4�� � BY CASH PL CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. -A PLOT PLAIN 1� � ADDRESS /�• I U)A PERMIT NO. 4 = s LEGAL �l .5100 BLK ADDITIONDESCRIPTION — OT L{I�C/1 low I/�G sR a a SITE AREA &1,00 Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- 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 SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' T o LIE. I/We certify that the proposed construction will conform to the dimera'dne and uses shown above and that no changes will be made without first obtaining approval. NAME(e) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) HORIZED REFWKSENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED D/,� DISTRICT AS NOTED 2 e,+,_ DATE •HELTON PRINTING wSm p11G MASON COUNTY PLANNING DEPARTMENT •Aa��� M�N� P.O.BOX 186 Sheitpn,'Washington 98584 MA �Rs PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. ,. M� EIDEh(REIC� a S�Ifdv�ZEwov0t ���j Owner ` r L 5o +?.GQ-rO,KI/ 12-`F'O 2. �l Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington signTO—re-0:0�pntrnl Address Application date ta. �j l4 ►�4 i�^r p LEGAL DEVPIPTION LYNC�d cevr ivislonG LDT 23 Location Of Building NO.. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS Ef j-7 R` LAUNDRY TRAYS 0 0 TK_EE$ Connect to City Sewer DISH WASHER E DISPOSAL URINAL 00 ' AOL? 901 t1 PErLF. A9,5 ON PIZAIN 1E1-V> ° -- --- f w� (Show treet Names rop rty 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.