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Home My WebLink AboutBLD9100 Final 4-Plex - BLD Permit / Conditions - 8/10/1976 Farren, Michael J . #9100 4-7-76 N. 4251 S. 168t as along W line of SE4j_ SEµ 20-23-1 Contractor: Tyee' Well Drilling Co. 4-Plex Plumbing Permit issued. $45,000.00 ;xz - � /tI-T BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE ISSUED PERMIT NO. 9io� -�ZlP PHONE - OWNER; >d y 3 1� I ,� of z t L 2 r I J P --- � -- DIRECTIONS TO 10B SITE1 �n F/t,�0/� k _�._ PkLn Ic- lJ�)J( LEGAL —,I` M4L ADDRESS / zip S9Z ATTACHED SHEET) �I / DESCR. L� /J _ �, I (J rA, MAIL ADDRESS f� PHONE Z' �i// —CONTRACTOR co o 1 13 U y 3 a 7r �/S' Y��-�L-LJ 0-Q 4,1�Z � USE OF AIL ADO ESS PHONE LICENSE NO. BUILDING Class of work: tj NEW /70�ADDITI N ❑ALTERATION ❑ REPAIR O MOVE ❑ REMOVE -- Describe work: -- --— - ------ —------- Valuation of work: $ O PLAN CHECK FEE S (� �—� PERMIT FEE I Z SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKKEE DD�Bv APPROVED FOR ISSUANCE BY J � Type of '�7' Occupancy �/ Const. -ir- Group fl Division ------ — Size of Bldg. No.of Max. (Total)Sq. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require I Certify that I am a currently registered contractor in the State NINd of Washington and the County of Mason and I am aware cf the HEALTH DEPT. ordinance rEquirements regulating the wctk fcr which the permitWORKS Is issued and all work done wi:l be in conformance therewith. AMD DEPT, Firm 7 DO) .,,' , C By - Lic. No. 2 6.2— Date 1 OWNERS AFFIDAVIT — I certify that I am exempt from the requirements of the contract. _ or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. N O T I C E SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. Owner Date THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ./ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH eH EITON PRINTING CG. i A MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT —Complete ALL items. Mark boxes where applicable. i, LEGAL DESCRIPTIO Location Ai O f �J ny — --Building N S�C Q'—vc E N�S SE?5 'S�K 9 E W side of uJ�e/S btl a /��gpet E W from inters ection of Sect. Twp. Range NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FCE GAS PLUMBING yy, WATER CLOSETS (YjQO EACH UNDER 60 MBTU SEWER SEPTIC TANK BASINS 'e0 EACH 60 TO 120 MBTU BATH TUBS , A Q EACH 120 TO 200 MBTU SHOWERS EACH 200 TO 500 MBTU WATER HEATERS ©4 EACH OVER 500 MBTU AUTO. WASHERS �C SINKS d-O FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer SERVICE CONNECTION DISH WASHER X DISPOSAL URINAL Distribution System By Special Permit (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR C� GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. PERMIT PERMIT FIELD INSPECTION Date By Remarks ^_ Na _ — Mailing address —Number, street, city, and State Zip code Tel. No. 1. Owner 2. Contractor The owner of this bui;dinq and the undersign agree to conform to all applicable laws of.Mason County Signature of applica Address I Applic tioonn d to DO NOT WRITE IN THIS SPACE _— FOR OFFICE USE _ Approved by D/ffw' Permit fee O` Date permit issued Permit number Receipt No.