HomeMy WebLinkAboutBLD11369 SFR - BLD Permit / Conditions - 9/8/1981 Paris, F. N. , Dr. #11369
9-8-81
Tr. 5
G. L. 2 34-22-3
Box 198 Hiway 106, Union
Residence 0� Contractor
Barbie Lumber
$66,482.00 Plumbing Permit
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
N io�s iY - '�•--
Framing: �i°j�/
Fireplace:
Wood Stove:
Plumbing:e7/—,, 3 0 C;—i
Mechanical:
Exterior:
Interior:
Final:
Stop Work:
Remarks:
pFRMIT
NULL I l EXPIQAZIQ .
Y • BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED / -<P- 4
PERMIT NO. �/3 t:�
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
Pr • /U c a o 7s9l-cffq
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 3 -T,v a N e- S p/
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR y�-/',.20
J7,9 .12304
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ / /> �� Q-fJ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_��_� {DECKS_ _._Q - CARPORT I , NOTICE
BATHROOMS_ ;t:5 (TOTAL SO. FT. __ GARAGE L]
ATTACHED Ll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENTS OR AIR CONDITIONING.
TOTAL SQ. FT../2.00 I 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and 1 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 1 1 SHORELINES 17 aQQ
r_ SEASONAL FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By 3 - AAS - / U 45 Special Approvals IN OUT YES APPROVED NO
Lic. No. r Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
1 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 conformance therewith. MOTOR VEHICLE PERMIT
(CATION A EPT D BY PLANS CHECK BY APPROVE OR ISSUANCE
Owner Date .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH
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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.
Owner D ' yfD 5 Al ? 9-L{�
r Ff-1O 7
M
2. ;c-
Contractor
F-�� �✓
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signatur of applicant Address Application date
R �
LEGAL DESCRIPTION
Location
Of
Building '�-C- 3 Aa
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS Qa
3 SHOWERS fI�
WATER HEATERS
AUTO.WASHERS 0-6
SINKS
o FLOOR DRAINS
O DRINKING FOUNTAINS
f LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
C
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 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.
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