HomeMy WebLinkAboutBLD6580 Addition final - BLD Permit / Conditions - 3/24/1981 Smith, Robert L. #6580
6-5-80
Id Belfair Highway
S 1/2 SE NE 17-23-1
Plumbing Permit
ddition
$17,000.00
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BUILDING PERMIT APPLICATION
4
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 s _
DATEISSUED
PERMIT NO. o
OWNER NAME MAIL ADDRESS CITY&STATE 14- ZIP PHONE
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DIRECTIONS /
TO JOB SITE
LEGAL ,/ (❑SEE ATTACHED SHEET) T✓
DESCR. / .,3 -1 — SIB
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
C
USE OF
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
41 � /r -,,- CJ P`Z
Valuation of work: $ O e PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE El
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
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 I 1 SHORELINES i
SEASONAL CI FLOODPLAIN I I
Firm
E.D. NO. S.E.P.A. f 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in ormance therewith. MOT R VEHICLE PERMIT
AP TION ACC Y PLANS HECK BY APPROVED FOR ISSUANCE
OwnerOff%- bate. �O f61 e BY
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PLAN CHECK VALIDATION CK. M.O. CASH PERMIT qALIDATIO CK. M.O. CASH
A
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.
1,
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 Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
r WATER CLOSETS
BASINS _
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS a _
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
1
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.