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HomeMy WebLinkAboutBLD9412 Addition-Rec Room to Utility Room - BLD Permit / Conditions - 5/27/1976 Martin, Elvin C. #9412 5-27-76 Tract 3-A of SZ, SE!, NE4f Ex #A-1 ,�-23-1 Addition - Recreation Room and Utility Room $10,000.00 1 i ' BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED 5--27. 76; PERMIT NO. OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE nw DIRECTIONS TO JOB SITE O b �© LEGAL (O SEE ATTACHED SHEET) DESCR. s >` /VC/.41 _ gX 3 —/ NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: ❑ NEW DDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: of oo^A 61 Valuation of work: $ PLAN CHECK FEE PERMIT FEE f 7 7 i SPECIAL CONDITIONS: APPLICATION ACCEPTED BY, PUCK BY APPROVED FOR ISSUANCE Type of Occupancy Division BY Const. Group Size of Bldg. No. of Max. (Total) Sq. Ft. S �jY Stories Occ. Load �C, 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 Reoelved 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 of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be In conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS /Y ��il,�Date SUSPENDED OR WORK S COMMENCED.ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER Owner PjAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY P1.,ANNiNr n PARTkA.FR1T 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 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 Ilcant Address Application date c � LEGAL DESCRIP I N Location _ 3- Of Building _ NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS I WATER HEATERS �✓ AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS y C LAUNDRY TRAYS Connect to City Sewer DISH WASHER w� DISPOSAL URINAL lJ (Show Street Names 8 Property Lines) lSas�c -0 0 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 Appr ed by Permit as Date pemit issued Permit number Receipt No.