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Home My WebLink AboutBLD4774 Sign - BLD Permit / Conditions - 9/23/1980 Water-Land Realty & Construction #7447 9-23-80 SW Corner N-1/2, NW-1/4, NW-1/4, 17-19-3 Real Estate and Construction Office $15,000.00 Motor Home placed on property to be removed when building is completed. �s�d� �a�, �� l BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER AME MAIL DDR SS CITY 8 ST E ZIP PHONE DIRECTIONS ` TO JOB SITE LAN ` u �A i LEGAL j�SEE ATTACHED SHEET) DESCR. �JG LL21(t �W g*"�U AlA IV UJ/ -3 NA CONTRACTOR MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE USE OF C BUILDING Oe 5 i C.P)�j 41L C) IrKC Class of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: ��/" Valuation of work: $ C> PLAN CHECK FEE �►y PERMIT FEE//D��' ©C) / , SPECIAL CONDITION k t c4 ✓t� t c e a L, r/ / 1?i t� va Fbr a vc M / ../-/ / o BED H 0 M UEZ KS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT.C�. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING S ❑ ATTACHED ❑ NO. OF STORIES BASEMENT OR AIR CONDITIONING. TOTAL SO. FT. 501 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 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 ❑ SEASONAL f� FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. ) e OWNERS AFFIDAVIT HEALTH DEPT. S PUBLIC WORKS Id 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 issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT AP ICA710N ACC TED BY PLANS CHECK BY APPROVE OR I S E Own to. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 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. O _ (� 3 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 Sig of applica Address Application date f LEGAL DESCRIPTI N Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS [`J/ BASINS BATH TUBS SHOWERS WATER HEATERS 00 AUTO.WASHERS 1 SINKS 0 FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL Dd — (Show Street Names & Property Lines) 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.