HomeMy WebLinkAboutBLD6678 Utility Shed - BLD Permit / Conditions - 6/18/1980 Bonville, Foster B. #6678
6-18-80
Hammond P1. , Close to Swim. Pool
.ot 25, B1. 2 - Shorecrest
Utility Shed
3,672.00
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BUILDING.PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 / / O
DATE ISSUED
PERMIT NO. �CJ
OWNER
NAME AILI_ M AOD ESS ITY&STAT ZIP PHONE
�_"
DIRECTIONS _
TO JOB SITE
LEGAL � �� a� �� � r (' (❑ SEE ATTACHED SHF�T)
DESCR. oG��' ��C/ b C L � r a ce - (-
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: Yr NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: � 'r, ,
r L
Valuation of work: $ o v PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT LI NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE I.l
ATTACHED [ I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED 1-1
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 IJ SHORELINES I
SEASONAL 1 1 FLOODPLAIN I i
Firm E.D. NO. S.E.P.A. 1 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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all done will ROAD ACCESS
be in co ormanc the ith. MO O VEHICLE P MIT
c� L A I ATION C D BY PLANS CH BY APPROVED FOR ISSUANCE
OW e to, V BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
PLOT PLAN
/ ,3 (JA/I 1140 /V P f L _
ADDRESS �✓//n �Zk \E�CS PERMITNO. ( f o
LEGAL
DESCRIPTION LOT ,'Sy BLK ADDITION u
SITE AREA !-� x' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION 61"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
C
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
r
e j
r
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE Q STRUCTURE(S) (PRINT) IGNATURE OF OWNER(5) THORIZ D REPRESENTA IVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE r
DISTRICT AS NOTED
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.
1.
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
/ BASINS
BATH TUBS
SHOWERS
WATER HEATERS
/ AUTO.WASHERS C2
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 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.
$ 9'��� �" �� (�ZFI