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Home My WebLink AboutBLD2743 Addition - BLD Permit / Conditions - 7/28/1978r Warren, Donald C. #2743 7-28-78 All that portion E 100' W 155' E 660' G. L. 3 35-22 Hoods Canal South Shore, 2nd house west of Casa De Ci Canal Addition w/ slab patio and re-roof with cedar shake $8,900.00 Contractor Phelps Construction Plumbing Permit issued I �-�� >. ,��, r �_ J r7 BUILDING PERMIT APPLICATION MASON COUNTY 3a �� 5 3i clocaG.�p P.O. Box 186 Shelton, Washington 98584 1 426-5593 DATE ISSUED Z i PERMIT NO. 7V,3 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE - , L- DIRECTIONS TO JOB SITEI 14 A / 11,1 ti LEGAL n// 1E /10O LO I T5 r A �j y CI (❑ SEE ATTACHED SHEET) - - DESCR. v�^1 -3 S_I .`L Z- • J - r I_ A AIL ADD ESS CITY ST E LICENSE NO. PHONE CONTRACTOR , O C d n USE OF BUILDING Class of work: ❑ NEW I ( ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE De ibe,woJA L AAt Valuation of work: $ o PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: I BEDROOMS DECKS CARPORT f] NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ � ATTACHED Cl SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING � NO. OF STORIE BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT.,W FIREPLACE ❑ DETACHED Cl 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 1 1 SHORELINE n SEASONAL 1] FLOODPLAIN C_1 Firm Lp 6 A A/ti%v-tt c /iow E.D. NO. S.E.P.A. I ; By Special Approvals IN OUT YES APPROVED NO Lic. No. Date 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 TfU formance herewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVEDiO ISSUANCE Owner Date. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH W" . PLOT PLAN ADDRESS PERMIT NO. LEGAL DESCRIPTION LOT BILK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION 61"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE Q GRAPH SQUARES ARE 5' X 5' OR 1"=20' • �,, - I TF i /. I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. 1 r 1 /� f/-�� •�}��J l "/�// (4� �L-�/�--�� Al ��E��F-OWNER(S) O I S'�dr'TRUCTURE(5) ',L) _wl (PRINT) SIGNA URE OF OWNER S OR AU TH RIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DATE DISTRICT AS NOTED Z 1°a z7 X 6HELTON PWN IN'i i Q J VS � Y c s cr , LA q -- -- -------- M� ul Q � H Ido —r C Lu i Ica MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. 1. LEGAL DESCRIPTION Location _ �0(y Building E w side of 7 0� feet E W from in(ersectlon of Sect. Twp. Range NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING WATER CLOSETS �% EACH UNDER 60 MBTU SEWER SEPTIC TANK BASINS dAr EACH 60 TO 120 MBTU BATH TUBS EACH 120 TO 200 MBT SHOWERS EACH 200 TO 500 MBTU WATER HEATERS EACH OVER 500 MBTU AUTO. WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect ECT ION DISFI 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 FIELD LOCATION OR SUBMIT ON OTHER SKETCH. PERMIT PERMIT _ FIELD INSPECTION Date By Remarks Name Mailing address — Number, street, city, and State Zip code Tel. No. Owner .5 !!!i`G/l/� S/// Contractor — The owner of this building and the undersigned agree to conform to all applicable laws of.Mason COUnty Sig tur o a pli ant Address Application date 1.4! 717k _ DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Ap oved by Permit fee Date permit issued Permit number Receipt No. $ g 191,- 9 �3i�