HomeMy WebLinkAboutBLD9734 SFR (moved in) - BLD Permit / Conditions - 7/14/1976 1
Whitman, Dann F. #9734
... . 7-14-76
NEµ, NEµ, 20-23-1
Plumbing Permit issued'.
Residence (moved in)
$15,000.00
�/� ��2 S/�76
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BUILDING PERMIT APPLILATION
MASON COUNTY VV
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED -7' `� 74
PERMIT NO.
OWNER - NAM MAIL ADDRESS CITY&STATE ZIP PHONE
DO JOB SITDIRECTIONS
T \ Lk:1 — ``rr IllA �-(�
LEGAL (1 E ATTAC ED SHEET)
DESCR. /
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: IJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
O
Valuation of work: $ PLAN CHECK FEE PERMIT FEE y�
SPECIAL CONDITIONS:
APPLICATIONLAEPTED 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 f
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. ✓ ,
Firm PUBLIC WORKS
BY ROAD DEPT.
Lic. No. Date
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 formance er with. 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 T L,178�
t;e. �— WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I---- ---
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MASON COUNTY PLANNINIG nEPARTAAIFNT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes whare applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
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
WATER CLOSETS � —
BASINS
BATH TUBS G
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
G�G'
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT G 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.
DESCRIPTION: 4-54 5 9 0
That part of the Northeast quarter of the Northeast quarter of Section
20, Township 23 North, Range 1 West, W.M. , in Mason County, Washington,
described as follows :
BEGINNING at the Northeast corner of said Section 20 ; thence along
the North line of the Northeast quarter of the . Northeast quarter of
said Section 20, North 87' 36 ' 30" West 690.33 feet to the true point
of beginning; thence continuing along said North line, North 87° 36 ' 30
West 332. 16 feet; thence South 0° 29 ' 39" East 660 . 69 feet; thence
South 88° 12 ' 25" East 332.00 feet; thence North 00 29 ' 39" West
657. 22 feet to the true point of beginning; -
SUBJECT TO and TOGETHER WITH an easement for ingress and egress over
and across a strip of land 40 feet in width extending Northerly from
the Old Belfair Highway across the Southeast quarter of the Northeast
quarter and the Northeast quarter of the Northeast quarter of said
Section 20 to terminate in a cul-de-sac having a radius of 50 feet
near the Southwest corner of the above described parcel. The location
of said easement is yet to be determined.
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