HomeMy WebLinkAboutBLD6250 Final SFR - BLD Permit / Conditions - 7/29/1980 Malone, Don #6250
4-23-80
Old Belfair Hwy. Past Fire Station - 2nd house on right
NE 1/4 NW 1/4 NE 1/4, 29-23-1
New Residence Contractor
Shelton Construction
$48,248.55
d.F- ,//,
S � 3
B'
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED ,v
PERMIT NO.
OWNER NAME / MAIL ADDRESS CITY&STATE `y ZIP PHONE
lid)oil. ��/ D/�`_E /lo x wl Oil;
i ' S
DIRECTIONS n
TO JOB SITE t✓�� wf A, eo,✓ � d v C•�` � � f'
LEGAL c �t, (❑ SEE ATTACHED SHEET)
DESCR. /�c / va b �S/ /I[ f^ Sc�C< `% �WwS/� ,3 /V Rj .
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
70 s�
Valuation of work: $ PLAN CHECK FEE PERMIT ME
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L 1 NOTICE
BATHROOMS_-�_ TOTAL SQ. FT. GARAGE b( Soy
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES f BASEMENT [] ATTACHED)K OR AIR CONDITIONING.
TOTAL SO. FT.Y-2- FIREPLACE X DETACHED I
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 11 SHORELINES
SEASONAL 1 1 FLOODPLAIN
Firm. .,/ by
E.D. NO. S.E.P.A. I;
By Special Approvals IN OUT YES APPROVED NO
Lic. No. S�' - e.4 0 10 r Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 3
PUBLIC WORKS
1 ertify that I am exempt from the requirements of the FIRE MARSHAL
-_tract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
Owner Date. APPL ION ACC BY PLANS CHECK BY A➢PROVED��ANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L
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.
1
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 T OU
3 BASINS
.a
BATH TUBS CCU
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names 8 Property Lines)
a
-5 C «. INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT ^ s� SKETCH
IN SKETCH.
TANK & DRAIN FIELD LOCATION OR SUBMIT
ON H
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
' PROPOSAL & CONTRACT PAGE NO. OF PAGES
SHELTON CONSTRUCTION, INC. ��O��pERS ASSD��q
lio
MASON COUNTY REALTY BUILDING ROUTE 1, BOX 29 y` y
8TH AND RAILROAD BELFAIR, WASHINGTON 98528
SHELTON,WASHINGTON 98584 PHONE 275-6088
PHONE 426-1600
OF MASON C01"
SUBMITTED TO PHONE DATE
STREET JOB NAME
CITY STATE ZIP JOB LOCATION III
ARCHITECT DATE OF PLANS JOB PHONE
WE PROPOSE:
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR—COMPLETE IN ACCORDANCE WITH ABOVE, FOR THE SUM OF:
DOLLARS I$ I•
PAYMENT TO BE MADE AS FOLLOWS:
ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED. ALL WORK TO BE COMPLETED IN A WORKMANLIKE Authorized
MANNER ACCORDING TO STANDARD PRACTICES.ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFI-
CATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS,AND WILL BECOME Signature
AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. ALL AGREEMENTS CONTINGENT UPON STRIKES,
ACCIDENTS OR DELAYS BEYOND OUR CONTROL. OWNER TO CARRY FIRE, AND OTHER NECESSARY IN- NOTE: THIS PRICE IS EFFECTIVE, IF CONSTRUCTION STARTS, 90 DAYS
SURANCE.OUR WORKERS ARE FULLY COVERED BY WORKMEN'S COMPENSATION INSURANCE. FROM ABOVE DATE.
ACCEPTANCE: SIGNATURE
THE ABOVE PRICES,AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY
ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAY-
MENT WILL BE MADE AS OUTLINED ABOVE.
DATE OF ACCEPTANCE: SIGNATURE