HomeMy WebLinkAboutBLD9403 SFR - BLD Permit / Conditions - 10/11/1979 Pollard, Robert W. #9403
10-11-79
E 165. ' W 330' Part of Lots 1 & 2 & of SE 1/4 SE 1/4
24-21-2
Drive North on Hartstene Island to Hartstene Point
turn left on Gravel Road, 30 yards then enter gate
and drive 1/3 mile, enter driveway on right.
Residence Contractor
Paul Meyers
$45,190.00 Plumbing Permit
O.c-
pER'IMT
MULL & VOID Est' E++?c�
DATE l��"p�_ BY
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Pollard, Robert W. #9403
10,11-79
Lots 1 and 2 SE 1/4 SE 1/4 24-21-2
Residence Contractor
Paul Meyers
$45,190.00 Plumbing Permit
NULL & vItAD SY
DATE /^9`p� BY
I BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 `
DATE ISSUED
PERMIT NO. / 13
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
f3L 2T l4. r, 1438- 8 4t, S•6, ML Ar-6jz ISc. WIFUH, 86 0 3;t
DIRECTIONS DIMIF N091 / Oiv /4p*CJ3j'G/ry $S41POV A 77! Jy*e1TfA-10V Y0Ul.+-T ?UteAo 1leT/rT ON (--eC*9�bL
TO JOB SITE /poAb 3o Y�nceS y*6r*v 9A,7t'm GATV' RND DKtve #/3 ahi&w Ewn'►c ArtivIl wA nN
LEGAL
EE ATTACHED SHEET)
DESCR. Z
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR PAUL M&-f rts '700 Ref?iRY J Ptke tZb. S-ta, f Torw* WNo $76-5-22S-
USE OF
BUILDINGhll
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: 17 2 O '
7- FT CSA-L-tL 0N4.Y 7as1s Ti,*4F
Valuation of work: $ PLAN CHECK FEE OC10 PERMIT FEE
S. QO.o v
SPECIAL CONDITIONS:
BEDROOMS DECKS ';� CARPORT ElNOTICE
BATHROOMS_ TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES 2 BASEMENTA ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FTIRF�- FIREPLACE 25 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
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 El
GtNlani GRnPL N�R.y �/V�� SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By f"tAL h17�LLT�S Special Approvals IN OUT YES APPROVED NO
Lic. No. U N-jn-N f-* 2"L l N Date FI^L/.ro 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. Q j
of the Mason County ordinance requirements for
11
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LIGATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner /Date.� Y— aOF BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
VA
Description:
The East 165.00 feet of the West 330.00 feet, all as measured
along the South line, of the following described tract:
That part of lots 1 and 2 and of the Southeast quarter of the
Southeast quarter of section 24, Township 21 North, Range 2
West, W.M. , In Mason County, Washington, described as follows:
Beginning at a point on the South line of said section 24, 1220
feet West of its Southeast corner; running thence West along
said South line 660 feet; thence North to the meander line of
Pickering Passage; thence Northeasterly along said meander line
to a point North of the POINT OF BEGINNING of this description;
thence South to said POINT OF BEGINNING.
Plot diagram for purposes of obtaining building permit.
Property owner - Robert W. Pollard I
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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.
rc'dt3rRi w� POLL&M) e-actn 11t. wu. VoYo 710yip X3.2370
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 applicants Address Application date
'9&n/1
LEGAL DESCRIPTION SWC- A0WC*, .L A•T
Location
Of
Building
{ NO.. PLUMBING FIXTURES FEE
i
{ WATER CLOSETS O d
1
3 BASINS /d
' BATH TUBSIV
I SHOWERS
I , WATER HEATERS
AUTO.WASHERS r
SINKS (J�
FLOOR DRAINS
DRINKING FOUNTAINS
S
LAUNDRY TRAYS e/ta,✓
Connect to City Sewer I ��
t / DISH WASHER O
$ / DISPOSAL
URINAL
Hi
VIP
(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.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
a