HomeMy WebLinkAboutBLD6998 Add Bedroom and Bath - BLD Permit / Conditions - 7/29/1980 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 r z y _ 4
DATE ISSUED —, -
PERMIT NO. — -
OWNER NAM MAIL ADDRESS CITY&STATE ZIP � K1 PHONE
�.1Z` 7 d S D, L f�'o/ �a�� ZvsfLv �Z`f /3� --J' 33
DIRECTIONS �`1Q`l� �` G
TO JOB SITE �Ddy S Z
LEGAL j (❑ SEE ATTA/HED SHEET)
MAIL ADDRESS CITY&STATE LICENSE NO PH NE
CONTRACTOR 7/'�
USE OF �c '
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work ,1 �4 n P 1�
d
Valuation of work: $ '- PLAN CHECK FEE _C� PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SO. FT. tV GARAGE L_J
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STO IE BASEMENT l�1 ATTACHED LI OR AIR CONDITIONING.
TOTAL 7 SQ. FT. FIREPLACE Fb,/ 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
I• / SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I ce I y t 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. PERMANENTh SHORELINES
SEASONAL [ ! FLOODPLAIN
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLAIJNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 8
PUBLIC WORKS
/in
t I am exempt from the requirements of the FIRE MARSHAL
registration law RCW 18.27, and am aware BUILDING DEPT. >s�
son County ordinance requirements for
permit is issued and that all work done will ROAD ACCESS
rmance therewith. TOR VEHICLE RMIT
LIGATION A ED BY PLAN,9 CHECK BY APPROVED FOR ISSUANCE
Owner _ Date L�Q�', Q B Y
'3LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID ION 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
a WATER CLOSETS -%ZOO
BASINS
O
BATH TUBS
SHOWERS
d0
WATER HEATERS
AUTO.WASHERS
f SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL +�
� (Show Street Names & Property Lines)
t//.fL •O�p
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.
$ ��
Wheat, B. P. #6998
7-29-80
2 door east of Alderbrook Inn
Sunny Beach Tracts - Tr. 13, ex. , W 25' of Tr. 14
Addition Plumbing Permit
$46,576.00
ry