HomeMy WebLinkAboutBLD14878 Plumbing - BLD Permit / Conditions - 10/27/1983 COKER, John 2 #14878
3aa Js -3�-aoa w 10-27-83
Tract 2 of Shortrlat #6131, 35-22-3
Mile Marker 9 is on property East of Alderbrook
Contractor
N.E. Stout Plumbing
Plumbing Permit Only
Shorelines: .
Set-back:
Special Conditions:
Footing:
Setback:
Foundation' Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing: O �S
Mechanical:
Roof:
Exterior :
Interior
Final: 0 y z/ 8 �G
Stop Work:
Mobile Home:
Smoke Detector
Remarks:
i
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS r / CITY&STATE ZIP PHONE
G j�
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL AD R SS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
5-,
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
e70a .
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [I NOTICE
BATHROOMS TOTAL SO. FT. GARAGE [ ]
ATTACHED ! i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE O DETACHED C]
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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 I l SHORELINES
SEASONAL I i FLOODPLAIN i
Firm E.D. NO. S.E.P.A. f_;
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH .
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 DEP .
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROA S
be in conformance therewith. MOTOR VEHICLE PERMIT
)n 2 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED F R ISSUANCE
�f� JU
0wner 120z Date . _I�_ BYE.
PLAN CHECK VALIDATION C CA K. M.O. H PERMIT VALIDATION CK. M.O. CASH
S
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.
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
Sign lure of applicant Tss / Application date
LEGAL DE RIPTION
LocationOf
/ �p
Building r i r l R e
NO. PLUMBING FIXTURES FEE
WATER CLOSETS a
ogk
( BASINS
BATH TUBS
SHOWERS00
WATER HEATERS
AUTO.WASHERS `
SINKS ( '
FLOOR DRAINS
DRINKING FOUNTAINS If
LAUNDRY TRAYS i
r
Connect to City Sewer —
DISH WASHER
DISPOSAL _
URINAL
/r
IG
t r,�_ , SyOTia
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT t�d SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
lo-47-- $ 3 1 7
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by !/ Permit fee Date pemit issued Permit number Receipt No.
���3 $ /,