HomeMy WebLinkAboutBLD1829 SFR - BLD Permit / Conditions - 5/8/1975 P4r f'c
•Bvi-idifig Permit
Robert Parker Permit #1829
721 So. 12th Issued 5-8-75
Shelton, Wa
Lot #8 Springwood
New residence
Val . $24, 120.
e r"e- T 111/ le
f BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE_
= m
D
PERMIT NO
Applicant to complete numbered spaces only. U
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JOB ADDR E55
LEGAL (❑SEE ATTACHED SHEET)
1 DESCR.
OWNER MAIL ADDRESS _--Z:V PHONE
Z c e f C?5 6 c /It/
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 ` N 94 So 2lv e0 -2. O O
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 r/ i/ ✓ v
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
LENDER ' MAIL ADDRESS L BRANCH
,` U ( .
1
USE OF ILDING
f_
8 Class of work: 'NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9 Describe work: _
10 Change of use from
Change of use to
11 Valuation of work: $
PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: E�lnC)-A
Type of Occupancy
COnst. =P0Mle, Group Division
Size of Bldg./ 2 f No. of Max.
(Total) Sq. Ft. I Stories Occ. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPFIOVED FOR ISSUANCE BY Zone 14 Zone Required ❑Ves ONO
OFFSTREET PARKING SPACES:
No. of
f. Dwelling Units Covered Uncovered
N 0 T I C E Special Approvals Required Received Not Required
ZONING
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. S
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT.
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- OTHER (Specify)
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I hereby certify that I have read and examined this application and
know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to
give authority to vio o cancel the provisions of any other state or
local law regulati const uction or erformance of construction.
SIGNATU F CONTRA 0 OR A THORIZED E (DATE)
SIGN E OF NER I OWNER BUILDER DATE)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHEL.TON PRINTING CO. '
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SpLAWWCUy 'o"ANew,.
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
LEGALD 6CRIPTION r
Location (11 r 1
Of NS NS
Building
E W side of feet E W from intersection of
Sect. Two. Range
FV
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS OQ EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS - B EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBTU
SHOWERS �� EACH 200 TO 500 MBTU
WATER HEATERS jr S6 EACH OVER 500 MBTU
AUTO. WASHERS r S�
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS ESQ
Connect to City Sewer SERVICE CONNECTION
I DISH WASHER ,5d
DISPOSAL
URINAL
Distribution System
By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
PERMIT f gi-5d PERMIT FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
FIELD INSPECTION
Date By Remarks
Name// Mailing address — Number, street, city, and State Zip code Tel. No.
1.Owner �rb- I.CMS`fi►+iLC /Z 1 St2 _ 7 L� ^I'l y
li-
C �cbu4L. 'Phew-k T o C- _ 3/o
Contractor
----- �S lie HO A )A SI.c 11'
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County
Signa ure of applican Address Application date
NOT WRITE IN THIS SPACE _— FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.