HomeMy WebLinkAboutBLD10202 Final SFR - BLD Permit / Conditions - 12/26/1984 Bixermann, Robert L. ] #10202
3-16-81
Old Belfair Hwy. & McKnight Rd. - approx. 235' from Old
Belfair Hwyl on right side
NE NE 29-23-1
Residence Wood Stove Permit
Plumbing Permit
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593 -�
DATE ISSUED
PERMIT NO. / �✓� 2, 2
OWNER NA E MAIL ADDRESS
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CITY 8 STATE , ZIP PHONE
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DIRECTIONS d) ' j /1 ����P(ph r✓
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DESCR. � — 42 A l
LNAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR /
USE OF
BUILDING
Class of work: KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Loks Ir EEC NCt' i'l 'V+. 42—
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS 041. DECKS CARPORT ❑ p NOTICE
BATHROOMS / _/j TOTAL SQ. FT. GARAG� 760r,a,
ATTACHED k,. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ Yti OR AIR CONDITIONING.
TOTAL SO. FT FIREPLACE ❑ DETACHED ❑
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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 i 1 SHORELINES L�
SEASONAL Ci FLOODPLAIN Cl
Firm
E.D. NO. S.E.P.A. Cl
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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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.
the Mason County ordinance requirements for
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which this permit is issued and that all work done will R,QAQ.,ACCESS
be in conformance therewith. OTOR VEHICLE PERMIT
/b ��j A TION ACCEPTE Y PLAN CHECK BY APPROVED FOR ISSUANCE
ate . �i BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO 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.
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Owner
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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
LocationOf
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Building ,✓V ,c"F`. /' 0 ✓ z
NO. PLUMBING FIXTURES FEE
I WATER CLOSETS
BASINS
BATH TUBS _
SHOWERS
WATER HEATERS
AUTO.WASHERS _
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
r DISH WASHER
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 r' Permit fee Date pemit Issued Permit number R Ip No.
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