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BLD19397 Final Addition - BLD Permit / Conditions - 12/11/1986
BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED d PERMIT NO. OWNER ME i MAIL ADDRESS Cl 8 STATE ZIP PHONE v� �o v ;7 7 a s DIRECTIONS TO JOB SITE /[Je,,-2-X,S-h'© LEGAL /� (❑ SEE ATTACHED SHEET) DESCR. f}�MU, S r)"^P NA E MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR USE OF p BUILDING ] Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 342.)( .3 e -or 7 7 Valuation of work: $ PLAN CHECK FEE PERMIT FEE . �� � 0 5- � 0 3 SPECIAL CONDITIONS: , 'OI-Alt MA"Usaon i ` e Q. LcWt Sql�'Ohs - - t o, BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS I TOTAL SQ. FT._ GARAGE` �,u�` SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES ATTACHSOE BASEMENT ❑ `�< OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE El THIS ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- -4 j'-#A 3 dt0 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 am 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 co formance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. NV_ Date ZONING PLANNING DEPT. -6.• J O �0 OWNERS AFFIDAVIT HEALTH DEPT. - 7 -iaf� 2-::�r-sw 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 I ed and that all work done will ROAD ACCESS be i nformance re ith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS HECK BY APPROVED FOR ISSUANCE Own _ Date . BY 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. Owner 2. Contractor The owner of this building and the under)' ned agree to conform to all applicable laws of Mason County and State of Washington Signature ant Address Application date �r ai a✓`'s '.. s LEGAL dEESC411PTION Location Of Building A LZ O 10(e-' NO. PLUMBING FIXTURES FEE WATER CLOSETS �,P BASINS © BATH TUBS SHOWERS p WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER j DISPOSAL III URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT (Q�� 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. $ " o CHRISTMASTOWN PRINTING TYPE ADDITION Permit NO- 19397 No. Floors 1 Sq Ftg 820 Owner SOL_TIS, Robert Tel 275-4477 Date 10-2-86 Address p 0 Box 767 Belfair Zip Contractor Self Address Zip Legal scription Sam Theler H & G Tracts Tr. 29-B Direction to project site NE 22580 Hwy 106 Belfair Plumbing y_ Mec is Sewer Wood Stove Fireplace Deck Garage 320 Carport Basement Loft Other 30x-T9- Shorelines: ^/,¢ Plumbing: 4 A� Setback: Mechanic Special Interior: Conditions: FIl AL:B,_/ ? /j Mobile Home: Smoke Detector: _ Remarks: Footing: C G Setback: Foundation Walls: Framing: eg Fireplace: Wood Stove: