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HomeMy WebLinkAboutBLD2049 Condo Unit - BLD Application - 6/4/1979r BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED L�'G ER I,VNERS SSOc IA'rf O PERMIT NO. OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE ST#R Wr.# rBox S9m 1114POA 11, . 98S9 P'4g--31a3 DIRECTIONS TO JOB SITE LEGAL ( E ATTACHED SHEET) DESCR. F7IF—ly(4(C NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR C'tYnE ur,E .114.2f ao �e S,, S64 X y, 4. u-i°iF -�' �'1 34 a )< USE OF �y ,, Q, - • BUILDING CGk-"� Class of work: ❑ NEW ❑ ADDITION UYALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: n Valuation of work: $ Q PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS / TOTAL SO. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ElATTACHED ❑ OR AIR CONDITIONING. TOTAL SO. FIREPLACE SI 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 LI SHORELINES Ll SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. i1 — Date 7 / 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 work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APP VED FOR IS CE Ow/r Date_ BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C CK M.O. CASH . �` - • MASON COUNTY PLANNING DEPARTMENT .,� P.O. BOX 186 Shelton,Washington 98584 1 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. Owner Q A' .!� 2. Contractor jo 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 LocationOf 1 /� Building :� � r'l — NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS &t WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer i DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) •'',, INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT O� SKETCH IN SEPTIC TANK d 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.