HomeMy WebLinkAboutCHANGE OF USE - COM Permit / Conditions - 5/27/1980 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STA TE ZIP PHONE
DIRECTIONS
TO JOB SITE
u
LEGAL Alm
(❑ SEE ATTACHED SHEET)
DESCR. /'fin ���,
CONTRACTOR
NAME MAIL ADDRESS CITY&ST kTE LICENSE NO. PHONE
,
r • 45l 4
USE OF
BUILDING e- e
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
l � `t�"'1 Ul C C 740 M d - -i le-
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS !DECKS CARPORT Ll NOTICE
BATHROOMS ITOTAL SQ. FT. 9;ZO GARAGE ❑
ATTACHED ❑ LSEPARATE PER ITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT ❑ AIR CONDITI NING.
TOTAL SQ. FT. I FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMM CED 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 COMM NCED.
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. PERMANENT11 SHORELINES
SEASONAL F1 FLOODPLAIN LJ
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance erewith. MOTOR VEHICLE PERMIT
J �^��j}J� APPLICATION ACCEPTED BY PLANS CHECK BY APPRO ESUANCE
Owner ._ GLu.% —4 _ Date. J ( y V BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY PLANNING EPARTMENT
P.O.BOX 186 Shelton,'Washing on 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark bC Kes where applicable.
Name Mailing address—Number,strei it,city,and State Zip code Tel.No. `
Owner `
2. is c(w L Yc
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County ind State of Washington
Signature of appl'cant Address Application date
LEGAL DESCRIPTION
p
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS e'o
BASINS
BATH TUBS
SHOWERS st
WATER HEATERS --------
AUTO.WASHERS �Af
'3 SINKS ; iJ
FLOOR DRAINS �/ i
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL 1
URINAL
y zo /
(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.
j AlF
STATE OF
DEPARTMENT OF TRANSPORTATIONWASHINGTON
Office of District Engineer,5720 Capit I Blvd. KT-11,Turnwater,Washington
Dixy Lee Ray P.O.Box 327,Olympia,Washington 8504
Governor
May 23, 1980
Stan N. Johnston
P.O. Box '88
Brinnon, Washington 98320
C.S. 2302 SR 101
Shelton to HI odsport
Mile Post 341.1
Request for ' oad Approach
Dear Mr. Johnston:
We have reviewed your request to construct a corn ercial approach to
a new office building on State Route 1.01 at Mile' Post 344.1 opposite
Sanderson Field. As we have been advised by Mas n County Building
Department that this building is for residential use only, we are
unable to approve the commercial approach.
Therefore, you are advised that the Department will only issue an approach
for residential use, 14 feet wide, at your request unless you can
provide a copy of Mason County approval for commercial use of the
building.
Please call me at 753--7215, Olympia, if you have any questions.
Very truly y urs,
A. R. MORREL
District Administrator
By: JOHN B. TIMMIS
District Utilities Engineer
ARM/cll
JBT
cc: Dick Anderson
D. Taylor
Mason County Building Dept.
County Courthouse
Shelton, WA 98584
Attn: Mr. J.E. Connolly
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