HomeMy WebLinkAboutBLD7669 Addition - BLD Permit / Conditions - 10/6/1977 McClanahan, D. #7669
10-6-77
William J. Mur y Brook Pt. Estates Tr. 5
1/2 mile past Casa de Canal Restaurant Hwy 106
Plumbing Permit issued.
Addition
$14,000.00
A
r - BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED /� �7 Z
PERMIT NO. ?�lv
OWNER NAME MAIL ADDRESS _ CITY&STATE ZIP PHONE
DIRECTIONS `� �'l-Y -Z r�.y
TO JOB SITE 1, I `,l l ,.sue ucecLtlwal
LEGAL �n J� , (❑ SEE ATTACHED SHEET)
DESCR. �O
NAME MAI ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR - v y —P
USE OF
BUILDINGi�wt►n�
Class of work: ❑ NEW 'XADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: jj�'C 'j a j��ti
�a 7or � I m\ `f 01) rc �r�� t ���l� �Z�%�L s,'{<<►t-
4r
e <I c Ayr--h X+,C� 11 ej-,L)
Valuation of work: $ / L�OO / PLAN CHECK FEE J J PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type f Occupancy / Division
BY ConsL
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load /,C,7
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor In RESIDENCE
the State of Washington and I am aware Of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm WO KS
By ROAD DEPT.
Lic. No. t-0- 0 l'lc I' Date
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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
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
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Ow Date. WORK IS COMMENCED.
ner
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION VCK� M.O. CASH
't MASON COUNTY PtANNINc nFDARTMFNT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
C
Owner
2. t l-S �c -- N'r/0 Jl7 A'S N .
Contractor
s owner of this building and a undersigned agree to conform to all applicable laws of Mason County and State of Washington
Si nature of app cant A e Application date
LEGAL DESCRIPTIO
Location
Of
Building
NO. PLUMBING FIXTURES FEE
P WATER CLOSETS 0-'0
BASINS , •` v
BATH TUBS
SHOWERS p.-p
WATER HEATERS
AUTO.WASHERS 0-0
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
,1 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.