HomeMy WebLinkAboutBLD2577 Final SFR - BLD Permit / Conditions - 10/31/1985r _
Lee, Dave E. #2577
7-10-78
S 325' lying Wly E 300.5' NE 1/4 NW 1/4 NW 1/4 28-2:
Roy Boad Road, follow road past shake mill & pit -1
take the Y to the right, follow road to first
white mobile home.
Residence Plumbing Permit issued
$28,000.00
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s12 z./7
BUILDING PERMIT APPL CATION
MASON COUNT
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. ;2s2 7
NAME _ MAIL ADD ESS CITY&STATE 1 ZIP PHONE _
OWNER )32��z,t.i l" Ua- � K 6-OL rr 0"? -&4,Y3
DIRECTIONS 1 ttz AIL
TO JOB SITE Ro L�Orc� � ilO w �� � + Sh4 kv rn:s� P�f f k{ N1� �'
LEGAL (❑ SEE ATTACHED 7EET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR O L4J)l e Ir Pt7 1 2 O X �w r O
USE OF 1 J 0
BUILDING 14 ovvN-e—
Class of work: KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work'
to b) �a ll Cons orv�•e �a��
Valuation of work: $ (}' p PLAN CHECK FEE _ PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES a BASEMENT ❑ ATTACHED [I OR AIR CONDITIONING.
TOTAL SO. FT.J2M FIREPLACE ❑ DETACHED tl
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_ SHORELINES
SEASONAL [] FLOODPLAIN
Firm
E.D. NO. S.E.P.A. I 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 BUILDING DEPT. 7
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
bee
''iini�cconforman/cce therewith. MOTOR VEHICLE PERMIT
OWn r
/I� - �- Date. 7— 3 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
I
t Q-57230
DESCRIPTION
PARCEL 1
All that portion of the South 325 feet lying Westerly of the East
300. 5 feet of the Northeast quarter of the Northwest quarter of the
Northwest quarter of Section 28, Township 23 North, Range. l West,
W.M. , in Mason County, Washington;
EXCEPT public roads, if any.
SUBJECT TO a' thirty foot easement for ingress, egress and utilities
over and across
the
East
abov feet,
tractato measured
Roadalong
Nothe
8670North line,
from the North line of e
PARCEL 2
All that portion of the Northeast quarter of the Northwest quarter
of the Northwest quarter of Section 28 , Township 23 North, Range 1
West, W.M. , in Mason County, Washington;
EXCEPT the North 225 feet of -the East 225 feet thereof.
EXCEPT the South- 435 feet of the East 300.5 feet thereof.
EXCEPT the South 325 feet thereof.
EXCEPT public roads, if any.
M
i
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.
DOE f t£c. 'i af;3 13R 1 e4i,r
Owner
0WA-k IL
z.
Contractor r—:
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 Applicat on dale
e . 0-6K— 1 p 0 /3 ox ��3 a.u, a,&- 7 3 7
L AL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
I WATER CLOSETS 1.2
BASINS
i
BATH TUBS
SHOWERS
i WATER HEATERS
IAUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRYTRAYS
Connect to City Sewer
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 bb Permit fee Date pemit issued Permit numberr� Receipt No.