HomeMy WebLinkAboutBLD12190 Addition - BLD Permit / Conditions - 1/7/1992 hadlub, Raymond H. #12190
(None Listed) 3/24/82
Springwood, Lot 26
North on Highway 101 to Shelton Spring Road, Right,
then left, E 71 Springwood Drive.
Addition/Alteration Contractor:
176 Sq. Feet (::itchen) Same
$5,282.00 Plumbing Permit
Shorelines:_�,q
Setback:
Special Conditions:
Footing:,.�
Setback: 0
Foundation Walls: b
Framing: Q ,4(-_ 9
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
PERMIT
VOID E17 P , 'rn :- .~
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT N0.
OWNER N E M L ADDRESS i CITY 8 ST E ZIP PHONE
'A Ae !� - d
DIRECTIONS
TO JOB SITE ��� Oj{/ 7V
LEGAL j9AI SE ATTA ED SHEET)
C7``r�
DESCR Al 000
O " CL) d Q Q 0 ZO "
NAME MAIL ADDRESS C�J CITY S STATE L NSE NO. / PHONE
CONTRACTOR ,
USE OF
BUILDING
Class of work: ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
,�cv� . Tc/Y.�i✓
Valuation of work: $ PLAN CHECK FEE PEBM1 I ff
J1
' I
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS I TOTAL SQ. FT. _ GARAGE i
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES'/ BASEMENT Ll OR AIR CONDITIONING.
TOTAL SO. FT./ FIREPLACE 11 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
1 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 a/
SEASONAL I� FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. 15
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in c ma a the MOTOR VEHICLE PERMIT
A LIGATION ACCEPTED BYL CH BPPROVE'7ty FOR ISSUANCE
Owner Date. (/71Q
PLV CHECK VALIDATION CK. M.O. CASH P RMIT VALIDATION CK M.O. CASH
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 SheltUn,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. !/ wOO J
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
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS T� O p
I AUTO.WASHERS 6 Q
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL C/
URINAL
i
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT G G- SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit tee Date pemit issued Permit number Receipt No.
i/� a 3-d4- &d 11 7