HomeMy WebLinkAboutBLD6322 SFR - BLD Application - 5/5/1980 Smith, Grace #6322
5-5-80
Hwy. 3 to Belfair, old Belfair hwy. to Newkirk Rd.
right, first black top to left on right near
end of road.
NW 1/45, NW 1/4 21-23-1
Contractor
Residence Shelton Construction
Plumbing Permit
$25,695.00
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• ` BUILDING PERMIT APPLICATION
MASON COUNTY 1ZSzl
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. _ 4
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
GRACE SMITH ST. RT. Box 150 Belfc Wa. 98528 275-2587
DIRECTIONS
TO JOB SITE Neykirk Rd. right0first black top to left
LEGAL on right near end of road. (❑ SEE ATTACHED SHEET)
DESCR. lV aj iz GU �1 a� _ '?_ / �
CONTRACTOR NAME MAIL ADDRESS CITY&S ATE LICENSE NO. PHONE
wSMMTON CONSTR. INC. ST. RT. 11 Box 29, Belfair, Wa. SH EL TC*260PT 26-1600
USE OF
BUILDING RESIDENCE
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ 251, 95.00 PLAN CHECK FEE - PERMIT FEE/76— e--d
SPECIAL CONDITIONS:
BEDROOMS_L-- DECKS CARPORT Li NOTICE
BATHROOMS _ TOTAL SQ. FT.$64--- GARAGEri single
ATTACHED [ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L x OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE 11 DETACHED Li
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 SHORELINES
SEASONAL L1 FLOODPLAIN L
Firm SHELT[�TSNriS !'�TIO1►T- ('
--�-_ r-- E.D. NO. S.E.P.A. i I
By�_(��Lvrtt� j,_r % Special Approvals IN OUT YES APPROVED NO
Lic. No. SH EL TC *260PT Date 5-5-80 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.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
A LIGATION ACCEPTED BY PLANS CHECK BY APPROV FOR ISSUANCE
caner Date .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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.
�. GRACE SMITH ST. RT. 3t Box 150 Belfair, Wa. 98528 275-2587
Owner
2_ 1 0 Sh ton Wa 98584 26- 6
Contractor
The owner of this building and the undersigned agree to conform to,dU 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
1 BASINS
1 BATH TUBS L'G
r—
SHOWERS
WATER HEATERS
AUTO.WASHERS
1 SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL ill
URINAL
(Show Street Names & Property Lines)
Af INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT cat✓ 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.