HomeMy WebLinkAboutBLD4936 Garage and Workshop - BLD Permit / Conditions - 9/14/1976 Malone, D. C. #4936
9-14-76
NE4 NW4 NE4 29-23-1
North Belfair Fire Hall
Garage & Workshop Plumbing Permit issued
$6,240.00
r 1f��� / ti
G.
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STAN ZIP PHONE
DIRECTIONS I
TO JOB SITE
LEGAL �/ (❑ SEE ATTACHED SHEET)
DESCR. F % �`C�2 _3 t� /ter 1
AME MAIL ADDRESS CITY 11,STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDINGS�p
Class of work: >i N EVI ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
v
Valuation of work: $ ` PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
AP ICATION ACCEPT D BY PLANS CHECK BY A ROVED FOR IA�UANCE Type of Occupancy Division
Const. Group
Ali
`L 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
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 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 I nforpnce 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.
PL
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 Mailingaddress—Number,street,city,and State Zip code Tel.No.
Owner
z.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature Iicant Address ' Application date
Ar
• LEGAL DESCRIPTION
Location y «i 1 / I
Of
Building
NO. PLUMBING FIXTURES FEE
' WATER CLOSETS e'tJ
BASINS C'O
BATH TUBS
SHOWERS D'U
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
/ LAUNDRY TRAYS C'V
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
kfi
(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
1 Ap oved by Permit fee Date pemit issued Permit number Receipt No.