HomeMy WebLinkAboutBLD9961 Final Garage and Utility - BLD Permit / Conditions - 3/20/1986r
Van Buskirk, Ken #9961
275-3890 9/21/82
29-23-1, Tract 3A of NW of NE
NE 61 Davis Farm Road, Belfair
Garage & Utility Contractor:
768-Basement, 768-Garage Self
$14,900.00 Plumbing Permit
Shorelines:
Setback:_
Special Conditions:
Footing: 3 �Z
Setback:
Foundation Walls:
Framing: e,<
Fireplace:
Wood Stove:
Plumbing:
Mechanica?_:
Roof:
Exterior:
Interior:
Final: p ?
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
w PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
!f 1e1�✓-�vsrip D S t4lAl 919578
DIRECTIONS
TO JOB SITE
LEGAL �/ (®'SE�TTACHEDSHEET)
DESC ` 7 D1 3— � 3A ..�li"k)
NAME MAIL ADDRESS CITY&aTATE LICENSE NO. PHONE
CONTRACTOR EL F
USE OF
BUILDING #,4e el'E r t/T// /7
Class of work: W-9EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT lJ p NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE IF- 7C/Cr
NO. OF STORIES BASEMENT I✓ 788 ATTACHED [ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE i ; DETACHED L
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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 [ � FLOODPLAIN Li
Firm
E.D. NO. S.E.P.A. 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. 013 9�
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance the with. MOTOR VEHICLE PERMIT
47_ 7 APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE
Owner � Date . o
PLIVCHECK 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.
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 d 0
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
�I LAUNDRY TRAYS p(j
Connect to City Sewer
DISH WASHER i
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 by Permit fee Date pemit issued Permit number Receipt No.
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