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Home My WebLink AboutBLD8771 SFR - BLD Permit / Conditions - 1/7/1976 Cook, Terrence E. #8771 1-7-76 Olympic Vista, Tract 2 Residence (Vacation) $10,566 BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box �44W Shelton, Washinqton 98584 / DATE ISSUED �7! 2d — PERMIT NO. 877 � _---_-T- ---_ MAIL ADDRESS--------_ _-_ZIP PHONE owNFRI7�RR��ticE Cook 3�a9�/3�iN _ _ �camA GIJA 98yo� sa - as a DIRECTIONS / TO 10B SITE1 ©� /Yt I,G 1/15 740, -_ — MAIL ADDRESS • 21P LEGAL (jeEE ATTACHED SMELT) DESCR.� �'�/If 2 I C 1/1 SS i—eG MA1� ADDRESS • PHONE CONTRACTOR Q f�i(S G(/nS�✓k�-I em R• e✓ �l K� )— USE OF MAIL ADDRESS -� PHONE LICENSE NO. BUILDING vA C a 1�fdh Df OYj2 E Class of work: kNEW ❑ADDITION O ALTERATION 'Cl REPAIR O MOVE O REMOVE Describe work: d�s tVa C,/- $ e ot��,� Valuation of work:$ /Q/ !)6 PLAN CHECK FEE Zll;. 00 PERMIT FEE SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Type of Occupancy Const. Group 1 Division 05,Ize of Bldg. 448'0 No.of Max. (Total)SQ.FtT 0 Stories Z Occ.Load 1 a CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Required I Certify that I am a currently registered contractor in the State ZONING of Washington and the County of Mason and I am aware cf the HEALTH DEPT. / ordinance requirements regulating the work fcr which the permit POINEM WORRS Is issued and all work done wi;i be in conformance therewith. 111110A5 DtPT, Firm By Lic. No. Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the contract. or registration law RCW 18.27, and am aware of the Mason N 0 T I C E County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ` TON AUTHORIZED WORK IS SUSPENDED OR WITHIN ABANDONED DAYS, FOR A PERIOD U F O Nne L Date �a �� 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SHELTON PRINTING CO. w MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. • LEGAL DESCRIPTION — Location Of NS NS Building ez E W side of feet E W from intersection of Sect. Twp. Range NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING WATER CLOSETS EACH UNDER 60 MBTU SEWER SEPTIC TANK BASINS i�D EACH 60 TO 120 MBTU BATH TUBS �� EACH 120 TO 200 MBTU__ SHOWERS EACH 200 TO 500 MBTU — WATER HEATERS )) EACH OVER 500 MBTU — -- _AUTO. WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer SERVICE CONNECTION DISH WASHER DISPOSAL URINAL Distribution System By Special Permit (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN /p) FIELD LOCATION OR SUBMIT ON OTHER SKETCH. PERMIT 1i' PERMIT FIELD INSPECTION Date By Remarks Name Mailing address — Number, s reet, city, and State Zip code Tel. No. Owner _ 2. Contractor — The owner of this building and t undersigned agree to conform to all applicable laws of.Mason County + — Signature applicant Address �.. App ication date 3a� DO NOT WRITE IN THIS SPA E — FOR/OFFICE USE _ Approved by Permit fee Date permit issued Permit number Receipt No.