HomeMy WebLinkAboutBLD0298 Final Duplex - BLD Permit / Conditions - 8/16/1985 SOLTIS, Robert A. #0298
5-14-85
NE 10 acres of SW-1/4, SE-1/4 29-23-1
P. 0. Box 767 Belfair 98528 275-4477 ,
Between Puget Sound Bank & Vet. Clinic
Contractor
Self
Duplex 1 2 bdrm.
1 1 bdrm.
$40,200.00 Plumbing Permit
Shorelines: /1//4
Setback: / /c
Special Conditions:
Footing: K 752 F
Setback:
Foundation Walls:
Framing: Cl*1 6-
Fireplace:
Wood Stove:
Plumbing:
Mechanical:Roof:
Exterior:
Interior:dY
Final: A1- all/ a' S
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED c —
PERMIT NO. 0 �/
OWNER NAME n .MAIL ADDRESS CITY 8 S ATE ZIP PHONE
J u f:(J. �G
TOJ ODIREC I O S
TO JOB SITE
LEGAL l _ (❑ SEE ATTACHED SHEET)
DESCR
CONTRACTOR
NAME MAIL ADDRESS CITY 8 ISTATE LICENSE NO.
PHONE
USE OF
BUILDING
1 at�'
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE C�
o. inn. ``'a ? 5, CIO v 41
SPECIAL CONDITIONS: Al
l e-j O r ol, LPG- ;5 !/'r s 0 r
!
BEDROOMS I DECKS CARPORT [] NOT W E
BATHROOMS X TOTAL SO. FT. GARAGE I ]
ATTACHED L� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_L BASEMENT [', OR AIR CONDITIONING.
TOTAL SO. FT.Z!9C ) FIREPLACE ❑ DETACHED U 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 th t I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and Ic the
aware of the FOR OFFICE USE ONLY
ordinan requirements regulating the work for which
the per it is issued and all work done will be in
confor ance therewith. PERMANENT LI SHORELINES
SEASONAL L_, FLOODPLAIN
Firm E.D. NO. S.E.P.A. Li
By Special Approvals IN OUT YES APPROVED NO
Lic. N 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 s�
of the Mason County ordinance requirements for BUILDING DEPT. `l Y
which this permit is issue and that all work done will ROAD ACCESS
be i nformance the ith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS ECK BY APPROVED FOR ISSUANCE
Own Date � �
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1
MASON COUNTY
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 C C'BASINS46 C
BATH TUBS -, `0
SHOWERS
WATER HEATERS �/ e,C
AUTO.WASHERS Z.. C
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
1
DISH WASHER
DISPOSAL
URINAL I
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT el 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.
$ C C�
CHRISTMASTOWN PRINTING I
J