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HomeMy WebLinkAboutBLD9209 Foundation - BLD Application - 1/3/1978 W '1- BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 /ABC/P✓r c/ /� L( "A2 J>, DATE ISSUED �7 PERMIT NO. 7 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE f A4 is .s 4 , � —?16 •- DIRECTIONS lVt'!�- •� �f �j a 3/C4fa r n t ,O �e,, r i C k 'l r /Y K) k•r /E_ kki -7—j, r- a� TO JOB SITE - f 0'e �t� �/ 4r W C.� LEGAL (❑ SEE ATTACHED SHEET) DESCR. S, N, /(1Lt% 7�:r,.-f e C 3 NAME MAIL ADDRESS CITY&STATE LICENSE O. PHONE CONTRACTOR �C/ f ©/�". y �-v e. USE OF Ir BUILDING �f .S O V L t / /y Class of work: )(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: s ✓ -,� n f c U K Valuation of work: $ _ ri PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: APPLICATION ACCEPTED BYl PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy y — Division /rterr BY Const. Group .-�tI 3 Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT PERMAN NT SEASONAL E.D.NUMBER I Certify that I am a currently registered contractor in RESIDENCE 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 Peir 19 •1e C=Cn ij S PUBLIC WORKS BY r 114, l'� pi S ROAD DEPT. 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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, of the Mason County ordinance requirements for 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. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH a MASON COUNTY PLANNINo nFP_APTMTNT P.O. BOX 186 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT - Complete ALL items. Mark boxes where applicable. Name Mailingaddress—Number,street,city,and State Zip code Tel.No. Owner s'ar �'Y7•r. /C r�' / o ��y l/'' �y�j 2. C u n Contractor The owner of this building and the undersigned agree to con orm to all applicable laws of Mason County and State of Washington SI nature of applicant Address Application date LEGAL DESCRIPTIONor, Ve! Location Z- — �� � -� 4eoo Of Building NO. PLUMBING FIXTURES FEE / WATER CLOSETS e-0 / BASINS BATH TUBS d' 0-0 SHOWERS WATER HEATERS o'D AUTO.WASHERS a 0•-0 SINKS 0-9 FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer ' DISH WASHER DISPOSAL 0'li URINAL (Show Street Names & Property Lines) GL6 / 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. SECTION 211 TOW, SH t P 23 NOATII, PAIGE 1 WLST, Me IASON COUNTY, WASHINGTON SLPTCMUeN 10,. }. i , 3 ' D 5 88" J4' 00"E 450.34 a 30 215.00' 205.34' m h I M 3 130' Easement M =� g I 1 W N 2 co-N — N c � I , � I rn 1j, �U o 15 Easement Scat 245.00 S 88° 14'00" E- 458.73 O 50 100 B "NOT A SURVEY" �L L/ w LEGAL DE CRIPTIONS: SEE ATTACHED LEGAL DESCRIPTIONS SELLER: RRY M. DAVIS AD'ACENT OWNERS: A. RIVERHILL DIVISION 1 /0 DON CADY B. LEE LOPRIORE EID RE) '..TY C. DONALD J. PAHR►MAN .0. M 588 D. LEE LOPRIORE ELFAIR, WASHINGTON R5-2868 f' `' Ib (J 1''►e f-r-- THIS IS A REVISION OF SHORT PLAT #19 FILED UNDER AUDITOR'S NUMBER 287416 ,F Ai AUDITOR` S FILE No . 292872 ROGER D. 1.0VITT & ASSOCIATES P,O, BOX 816 SHELTON, WN. 98584 426-5622 467