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BLD10688 SFR - BLD Permit / Conditions - 6/1/1981
NALLEY, Doug #10688 i 06-01-81 From Union 1/2 mile past Alderbrook turn right on Olympic Vista sign take next right, Lot at bottom of Coldesa Cr. Lot 30, Olympic Vista Contractor Campbell Custom Homes Residence Plumbing Permit $45,269.00 me6/Z,/ei fa &v,' 7//0/f-/ BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS _-J CITY&STATE ZIP P NE Le z S I L — 76 Z DIRECTIONS IAkCA {3/nW Doti �� ir1�A.Q. / 'Lt t,�c�'(. .tcc ©Ly.,r,�: TO JOB SITE o s w LEGAL (❑ SEE A HED SHEET) DESCR. 4-o7.. pL IH PjG NAME MAIL ADDRESS CITY 3 STATE G18[ 93 LICENSE NO. PHONE CONTRACTOR / PCB G USE OF BUILDING Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: of O Valuation of work: $ o PLAN CHECK FEE PERMIT FEE ,r, aG 7 SPECIAL CONDITIONS: BEDROOMS DECKS ' CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FTI"— GARAGE ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT1;Z9y 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 G, SEASONAL [-i FLOODPLAIN I Firm E.D. NO. S.E.P.A. By Special Approvals IN OUT YES APPROVED NO Lic. No. ?a5.—b/z Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I 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 P CATION CEPT BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date. BY ACA UZ& AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION I CK. J 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. /Z Iva Owner 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Maso 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 Z WATER HEATERS AUTO.WASHERS SINKS e FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer I DISH WASHER ov 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 6TD Date pemit issued Permit number Receipt No.