HomeMy WebLinkAboutBLD4113 Addition - BLD Permit / Conditions - 2/6/1979 Clapson, John H. #4113
2-6-79
Lot 1 William J. Murnhy Jr. _Brook_ Pt. Estates
Hwy 106 1/4 mile E Casa De Canal Restaurant
Addition Plumbing_ Permit issued
Contractor
Taurus Const.
$30,000.00
a
7-0
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED -•3 7 9
PERMIT NO. A111 3
OWNER AME jaJ2 MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS I
TO JOB SITE ui y4 Mi t G2 Pe, l�Y- b
� 1 (lf e
LEGAL �rr (❑ SEE ATTACHED SHEET)
DESCR. A I l I -T, tk
NAME MAIL ARESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR 7i B5 Exi 1449 e44,
USE OF
BUILDING I � _ mily residence
Class of work: ❑ NEW i(ANDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: ,_., __II II
lIk W. TOM , j�1 ; n44 Anj-W ajd
aJJ am r- vClarr i rml- e,; 10""' V-0-y-AL, eliettsbw at,
Valuation of work: $ PLAN CHECK FEE PERMIT FEE ra�
SPECIAL CONDITIO
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
�t HEALTH DEPT.
Firm �b Y uAl D-A PUBLIC WORKS
17
By
ROAD DEPT.
tom'
Lic. No. -3 -017
� Date 7
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owner Date. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
TT Name Mailing address—Number,street,city,and State Zip code `Tel.No.
t. ..1D b 'Y" S rWA
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 /,'
Signature of applicant /4-t.�R-ILS Address � 0 N - W(I,wlo n 99
54a Application date
1,2 S 17.0
L GAL DESCRIPTION
If S �a A $g
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT O SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Appr by Permit fee Date pemit issued Permit number Receipt No.
p - $ �• - � ram-s'---9 �/l,3