HomeMy WebLinkAboutBLD9315 Final SFR - BLD Permit / Conditions - 2/9/1977 Husc�y John R. #9315
, � 5-25-76
Tract 3 of NW4, SEA, 20-23-1 Contractor:
B. E. Piland
Residence Plumbing Permit issued
$38,000.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY d STATE ZIP PHONE
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DIRECTIONS
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LEGAL � ( SEE ATTACHED SHEET)
DESCR. TjPiyCT3 GF a/1//, l ,Sx'C o 7S,0?3
NAME MAIL ADDRe&S CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR �? A� / pr e♦X s
USE OF pt'J S� /1
BUILDING ^ '-4-S /d�'-"r c,t-
Class of work: JI-NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ o PLAN CHECK FEE PERMIT FEE57
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group /
Size of Bldg. No. of Max.
(Total) Sq. Ft. `fie,— Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Contractor in RESIDENCE t
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
HEALTH DEPT. -so',1
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. No. g.3 Date Z?t //— /G
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 REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Y q 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.
P N CHECK VALIDATION CK. M.O. r.erW PERMIT,;VALIDATION � CK� M.O. CASH
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MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
1. LFJGAL DESCRIPTION _
Location /�1 0,CT4 o f /Yea)
Of NS 6/y .0ZG1 /zJAy -�6FTSid s- /jtC�o�s TiPiv.,rr� ��P,d�-E
Building
E W side of , _ feet E W from intersection of
Sect. :1Q Twp. -2 3 Range /
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS OO EACH UNDER 60 MBTU
SEWER SEPTIC TANK 11
BASINS 7*DO EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBTU
SHOWERS EACH 200 TO 500 MBTU
WATER HEATERS �� EACH OVER 500 MBTU i
AUTO. WASHERS /I
Z SINKS '�iQQ f fl
i
FLOOR DRAINS IEf
DRINKING FOUNTAINSLAUNDRY TRAYSConnect to City Sewer SERVICE CONNECTION \�
DISH WASHER .O O `r
DISPOSAL
f 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
PERMIT PERMIT
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
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FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
Owner a �Q
Owner - -
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Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County
Signature of applicant Address Application date
DO NOT WRITE IN THIS SPACE _— FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.
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