HomeMy WebLinkAboutBLD9755 Fire Truck Bldg - BLD Permit / Conditions - 3/28/1978 Fire District #16 (Mason County) #9755
3-28-78
S 100' E 130' N 243.23' S 453.60' along West line
of E 417.40 of even width of NE 1/4 NE 1/4 18-20-4
Dayton by Nimrod Grange
Fire Station Plumbing Permit issued
$16,896.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 7�
�d If Jeff'vles. PERMIT NO. 97,17-6—
Y
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
laseh 1 S 1 9F�S' 426- o65
DIRECTIONS 1 ,t
TO JOB SITE Pro g>(� is 1 \'il\4�F�ttt�t'� NnY��, Q� P-u,�, subg�t{�i/►t a1< �Du �/)1 c�rneY:S
LEGAL descrie iev, A-Q.tt:l , (❑SEE ATTACHED SHEET)
DESCR. :Dee
NAME MAIL ADDRESS D CITY&STATE LICENSE NO. PHONE
CONTRACTOR Se��' Y���5�.#JG Rj �O.DOX�7�
7 c51w ljrh 11�6 6 0 6 9
USE OF Y
BUILDING r t(� c� �i d}ij
Class of work: P14EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: r +
r&wt e, 6 ct iJd,h �a h o u.� i hC 'Ir"k9
Valuation of work: $ PLAN CHECK FEE PERMIT FEE �.
SPECIAL. CONDITIONS:
APPLICATION ACCEPTED BY PLANa CHECK BY APPROVED F p ISSUANCE Type of Occupancy Division
Const. Group
Size of Bldg. No. of Max.
(Total)Sq. Ft.�hc'd Stories ` Occ. Load
CONTRACTOR AFFIDAVIT —Sd
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 PUBLIC WORKS
By
ROAD DEPT.
Lic. No. 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 REQUIRED FOR 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
�;� T i */! —'y('SM f/ gy 1,9 '7C SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
OW Y b Date. J U WORK IS COMMENCED.
i ,jam "" lam'�l�l SSI CI�LC� (/�//ri•►w.l
PLAN CHECK V IDATION CK. M.O. CASH PERMIT VALIDATION • CK. M.O. CASH
THIS SPACE RESERVED FOR RECORDER'S USE
'1 SECURITY ITLE INSURANCE COMPANY
OF Wn6HINGTON
•cu Ify ,
7/T L• \\o• •1CON0 A ff"Ut • ■RAT TLI. _^6.1NOTON ..\OT • •.I�IM 9.O■TO ..•
• /ACC
II �% 'Fit r n
.� 3 C�'3 I-
led for Record of Reyuezl of Hy
HR-1965
1,ME 77 NOV 18 PM 3 : 58
RIE0U S 7 OF
)DRESS D .H�►dLIE 7.?9
Ro. sox �:y
TY AND STATE
Quit Claim Deed
/ (CORPORATE FORM)
THE GRANTOR SHELTON NIMROD CLUB, INC. a Washington corporation
for and in consideration of no consideration
j
conveys and quit claims to MASON COUNTY FIRE DISTRICT NO. 16
I
the following described real estate, situated in the County of Mason _
State of Washington, including any after acquired title:
The South 100 feet of the -East' 130 feet of the North. 243. 23 feet of the
South 453. 60 feet, all as Treasured along the I.7est. line thereof, of the
East 417 .40 feet, of even width of the Northeast quartev'of the Northeast
quarter of Section 18 , Township 20 North, Range 4 Vest, W.M. , in Mason
County, Washington. EXCEPT public roads, if any. _
SUBJECT TO easement of record.
- {kFF:^!."IT
Y:.. r, L Tr
C:: + T
NOY
John- CO-E
• Trc- L.o.:�tY
IN WITNESS WHEREOF, said corporation has caused this instrument to be executed by its proper
-officers and its corporate seal to be hereunto affixed this 12th day of October, 1977.
SHELTON NIMR�OD CLUB, INC..I- . . .
By . .. . . ���• ••a. . . . • -•• ; . .�/� . . w 1
y- I
y C je ,
STATE OF WASHINGTON, Treasurer - j
ss.
....... „f MASON
MASON COUNTY PLANNING DEPARTMENT
` 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.
rE C, �cr
Owner /
2. Ew
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 Application date
[,Address
'L7fG o 7
LEGAL DESCRI TION _
Location
(k
Of t
Building
NO. PLUMBING FIXTURES FEE
/�
/ WATER CLOSETS *r
BASINS
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 �E 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 p/emit is ued x Permit number Receipt No.
! 0 1 7 V
7 / 4 �
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