HomeMy WebLinkAboutCOM4726 Shower Room - COM Permit / Conditions - 5/5/1977 Exceptional Foresters #4726
5-5-77
Sanderson Airport
Bachelors Quarters Bldg. #80
Shower Room Plumbing Permit issued
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$13,850.00
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- BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED -
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
G- �/e.
DIRECTIONS
TO JOB SITE s'
LEGAL (0 SEF T CHED SHEET)
DESCR. �rCw-- AS e //A ) �6�r�✓ry d!-_ 4V — �r
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR J
USE OF
BUILDING
Class of work: N NEW ❑ ADDITION O ALTERATION ❑ REPAIR D MOVE O REMOVE
Describe work:
% X Q a S l 2I0",
r-7, i eK' ef T i r r
Valuation of work: $ ' _ PLAN CHECK FEE S =_ PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
t'w BY' Const. Group
Size of Bldg. No. of Max.
(Total)Sq. Ft. 3G t Stories / Occ. Load
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 Lf.'dzrlp t9ll. PUBLIC WORKS
By
ROAD DEPT.
Lic. No.91-CA--a114'*',P`7/QF 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
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
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
finer Date WORK IS COMMENCED.
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY PLANNING DFPARTMFNT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes vwnere applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
Owner
p>P47,r-ys it 9 rr '
z.
Contractor
O. &I;f 0 `7 >^ .r o ate � 9vj 4014
The owner of this building and the undersigned agree to conform to a I applicable laws of Mason County and State of Washington
Signature of applicant Address Application date
LEGAL DESCRIPTION
Location — ——Of
Building
77771
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS OD
SHOWERS bra
WATER HEATERS
.1
a AUTO.WASHERS dO
SINKS
FLOOR DRAINS O l�
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
T{� D
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT /0 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.
-77
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