HomeMy WebLinkAboutBLD11585 Final SFR - BLD Permit / Conditions - 2/2/1988 BUILDING PEMMI? APPLICATION
MASON COUNTY �l9
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED r—
PERMIT NO.
OWNER AME MAIL ADD ESS CITY STAT ZIP PHONE
DIRECTIONS
TO JOB SITE Q #.3 ,' Q A-7 M 2 hS'
LEGAL (❑SEE ATTACHED SHEET)
DESCR.
Q -
CONTRACTOR NAME MAIL ADDRESS CITY b STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
i
Describe work:
Valuation of work: $ o PLAN CHECK FEE PERMIT FEE
IVY, ?O >9S! co S'S va
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS ..3 TOTAL SO. FT4-92— GARAGE )C y8y
NO. OF STORIES BASEMENT TTACHED>[ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. 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 ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. 3
OWNERS AFFIDAVIT EALTH DEPT. 8' �,
P RKS
I certify that I am exempt from the requirements of the FI MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEP
of the Mason County ordinance requirements for
which this permit is issued and that all work done will S
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK APP VED FOR IS?SU[yVC�E
Owner Date
s
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.
1. dVw
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
3 WATER CLOSETS
BASINS
f BATH TUBS s
a SHOWERS
a WATER HEATERS .�
AUTO.WASHERS .�
/ SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
f
(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.
1
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by !b Permit fee Date pemit issued Permit number Receipt No.
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Deb6ft, NVCAW L. �11585
10-15-81
Wm. M. Morrow D.L.C. , Lot #F40
On Highway 3, 2.5 miles out from Lumbrmns.
Residence Plumbing Permit
Shorelines Permit
$84,207.00 Wood Stoves - 2
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