HomeMy WebLinkAboutBLD7886 Service Bldg Final - BLD Permit / Conditions - 5/1/1979 State of Washington #7886
Department of Fisheries 12-5-78
NW 1/4 SW 1/4 16-21-4
Weaver Creek Hatchery Skokomish Valley
Contractor
Jim Olds
Service Building Plumbing Permit issued
$20,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
OWNER NAME MA ADDRE S CITY&STATE
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DIRECTIONS
TO JOB SITE 6
LEGAL / ,/ / �� J ' (❑ SEE A ACHED SHEET)
DESCR. /v � �� �W �Y /
CONTRACTOR NAME MAIL ADDRESS CITY&STATE
LICENSE NO. PHONE
USE OF ✓P ! _ l 3 cr o "/ r
BUILDINGfYr d
Class of work: 1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work-
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Valuation of work: $ PLAN CHECK FEE
�"� PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK Occupancy Division
BY APPROVED FOR ISSUANCE Type of
BY
Const. Group
Size of Bldg. No. of Max
CONTRACTOR AFFIDAVIT .
(Total) Sq. Ft. Stories Occ. Load
I certify that I am a currently registered contractor in RESIDENCE PERMANENT SEASONAL E.D.NUMBER
the State of Washington and I am aware of the
ordinance requirements regulating the work for which MOBILE HOME
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
`—� 'r-. -T�r f! ` HEALTH DEPT.
Firm
x �'/ PUBLIC WORKS
By r' lllf' ROAD DEPT.
Lic. No Z.3,' .1� 1G f C j3 31�,p�ate / 7 ►�
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
which this permit is issued and that all work done will VENTILATING OR AIR CONDITIONING.
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
Ow er SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
7Date, WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION A�a 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
z. C s J 5'
Contractor
1
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 �. f
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS IY
BASINS
BATH TUBS `+
SHOWERS --
WATER HEATERS ti
AUTO.WASHERS
SINKS I
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
PERMIT
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
O-V SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved b Permit fee Date pemit issued Permit number
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