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Setback: c Mechanical: �> s
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Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
Typg RESIDENCE
Permit No. 23465 No. Floors 1 Sq Ftg 2215
Owner HESSE, Kyle W Tel 937-3503 Date 3-24_89
Address 9700 Marine View Dr. SW Seattle Zip
Contractor Self
Address Zip
Legal Description Madrona Mornin4side Lot 33-34
Direction to project site 13 miles from Belfair nn
Northshore Rd.13111 Northshore Rd.
Plumbing X Mecbanical _X Sewer Wood Stove
Fireplace X Deck 1372 Garage 544 Carport
Basement Loft Other
2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED i-422
PERMIT NO. C��
NAME MAILADDRESS CITY&STATE �64 tip PHONE
OWNER LC Utz CSS'- 9.70,0 1y1 11V& I/6-.v PX. -<,V, /.3 G 3 3�
DIRECTIONS I !-Ze6
TO JOB SITE /3 m1 On/ A10 • 5W
PARCEL LEGAL
NUMBER 2 �3y--Sa-o��,33 DESCR.jmwzrx�p� 'yl
-¢ 7j y 3c� ,Ve �L
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR Oa//Vc,2
USE OF
BUILDING �le s4l-1-6 i'K,yl G,� tees
CLASS OF NEW �� ADDITION ALTERATION REPAIR MOVE —t REMOVE
WORK r
DESCRIBE
WORK G°O/1/S
BEDROOMS DECKS l CARPORT NOTICE
y SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL FT. GARAGE CONDITIONING.O.
Rl
NO.OF STORI ES BASEMENT ATTACHED ✓ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. Z/ FIREPLACES_ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE ✓ S//N
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
1 CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FR THE
/BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
ER eG"' RTE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVENo DEPARTMENT YES NO
BUILDING VALUATION
HEALTH �t PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 3
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP y- / PRE-INSPECTION (�
SHORELINE
1 �r T-p jjyt� �y WOODSTOVE
L _ 140T, /� /Yt�� l0/i1P��7 ' J lArvy A44144/1 PLUMBING /.
r7A� mV T �/d = �� — MECHANICAL
�A :21.5' X 33 `�yj1q-2��- STATE BUILDING FEE `-&Zen
0:5�4, 137Z X S/."=_��'6d� _ STATESURCHARGE GI
APPLICATION ACCEPTED BY I PLL/AA'NSCHECK BY APPROVED FOR ISSUANCE I PERMIT VALIDATION
BY X 4'�t CASH Cl MO TOTAL
PLUMBING & MECHANICAL PERMIT APPLICATION
i
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
N E MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER LC Meme. JCW Q -SW- SEa97i C E Lti / f`9373�
DIRECTIONS I
TO JOB SITE IS ,n/ e2ol ON Al U-
LEGAL r _
DESCR. 414,0 R0A/ 4_ 33 Y 3 V ¢
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
Sri- _
USE OF Q
BUILDING Gl_ /` ES
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
2 WATER CLOSETS ll, FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS 2_— BOILER/COMPRESSOR 6.00
SHOWERS y, REPAIR/ALTERATION 6.00
f WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER ?_ AIR HANDLING UNITS 7.50
SINKS _ HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS Ll VENT.FAN SYS.3.00 PER UNITLAUNDRYTRAYS .� WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL 2�
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL �/, TOTAL oZ • `p
SPECIAL CONDITIONS: _ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED 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 WORK IS
COMMENCED,
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATiON LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN NFORMAN E THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST O T I PPROVCOM UILDING DEPARTME T. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER ATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACC.�TED BY PLANS CCH��E��CK""BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
3-n9 BY��'46 7 CASH CK MO
I