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HomeMy WebLinkAboutBLD17478 Restroom - BLD Permit / Conditions - 6/4/1985 STATE OF WASHINGTON #17478 STATE PATROL ACADEMY 6-4-85 N-1/2, SW-1/4 2-20-4 W 631 Dayton Airport Rd. Shelton 426-1661 1/2 mile West of Hwy 101 on Dayton Rd. Contractor Jones Design & Contr. Restroom �(um b��►� t�r vn�i� $10,350.00 y Shorelines: Allf . Setback: 6 i< Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: e/r'6 /3 F Mechanical: Roof: Exterior: ' Interior: Final: Stop Work: Mobile Home: Smoke Detector: Remarks: PERMIT C..N I BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CIS 6 STATE ZIP PHONE 1 DIRECTIONS TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) NA MAIL ADDRESS �oC� &STATE LICENSE NO. PHONE CONTRACTOR \� © .1� 0�g o USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION XALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ 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 I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR O F F i C E USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in Conformance therewith. PERMANENT : SHORELINES SEASONAL ❑ FLOODPLAIN [I 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issue and that all work done will ROAD ACCESS be in co formance a ewl h. MOTOR VEHICLE PERMIT APPLICA N ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE Owner Date - BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH CH RISTMASTOWN PRINTING MASON COUNTY P.O. BOX 186 Shelton,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. 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 f BASINS G,O BATH TUBS SHOWERS WATER HEATERS [ AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) - INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT /�� r e SKETCH IN SEPTIC TANK d 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. CHRISTMASTOWN PRINTING