HomeMy WebLinkAboutBLD4243 SFR - BLD Permit / Conditions - 3/12/1979 Hogan, Leonard F. #4243
3-12-79
Madrona Morningside Tracts Lot 24
13.2 mi from Belfair on NOrth Shore Road, t mile
east of Tahuya
(variance g anted to place eaves 30 inches from
Residence wYbasement & Fireplace Prop line.)
Plumbing Permit issued
$47,306.00
l4r--�, W-
�� OF 711sr/moo
4
r
BUILDING PERMIT APPLICATION
C MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 9
DATE ISSUED
r PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
L. E c-V,4 A D rle,6 A�Z P 0, 6 0 x V V A WA
DIRECTIONS
TO JOB SITE /,�� ,� — ON OK .S/-/O 40AD 5 7 &J T g9 6�
LEGAL (n SEE ATTACHED SHEET)
DESCR. �S ed P E S'/ 7-RAY 2 E .z Aqj OXoyy /Y 4 Si D£ S 1.a Tz
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR A-C a NA R 6 A� ,I!F rJ +C A Z. 7 -6 F6
USE OF BUILDING //0 AA G RE> / R C V C L �
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
-;--/Nc1 ;(/% iL - s t7^/C �r
Valuation of work: $ 17 � � p`a PLAN CHECK FEE C,� s� PERMIT FEE
SPECIAL CONDITIONS: v
BEDROOMS 7- DECKS CARPORT ❑ NOTICE
BATHROOMS 7_ TOTAL SO. FT. GARAGE Fi--
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT CA/ OR AIR CONDITIONING.
TOTAL SQ. FT.' FIREPLACE V�-- DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I 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 SHORELINES L1
SEASONAL FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. I
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in cgnformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PL S HECK BY AP OVED FOR ISSUANCE
Own �- Date. '/1 ' 7
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
f
a �
. 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.
WA 9'71>217
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 cant Address Application date
LEGAL DESCRIPTION
�► L A
Location
Of
Building I s'/ L Zo 7 .z
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
Z SHOWERS N
WATER HEATERS d-O
AUTO.WASHERS F-d
l SINKS u'd
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRYTRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
\ INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT t'-CJ 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.
/CQa P /4k $ Y3, P- ' 3! - 2 7 42413