HomeMy WebLinkAboutBLD9595 SFR - BLD Permit / Conditions - 6/23/1976 LeBlanc, Jim #9595
6-23-76
Jesfield Tracts, Lot 28`` Contractor:
Jesfield Construction
Residence Plumbing Permit issued.
$17,500.00
I ���o � 3a � oo�oo
06�6
7-;?1-,26
1� J . Z�
BUILDING ARA11.1 APPLICATION /.
MASON COUNTY
P.O. Box 186 Shelton, Washington 0'3 81s
GATE ISSUED _a��--26
PERMIT NO. �56
OWNER NAME MAIL ADDRE CITY&STATE ZIP PHONE
coy
DIRECTIONS // r- �
TO JOB SITE �t•.00e R-1; 4d11 411-1 d e 0 1W Of
�•SS/�? �r�E
LEGAL 11 / , / / �J� ❑^SEE ATTA HED SHEET)
DESCR. ��� 1) 9 O •7- �JPSVr -c� %�/ / Y'c - � '36 �J � -2-. 'G
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR r�
USE OF
BUILDING, k-e5, J t
Class of work: NEVI ❑ ACNOITI.7N ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
6 Y 2—
Valuation of erork: ;11 QO-ZI PLAN CHECK FEE �� � e9 o PERMIT FEE
! SPECIAL CONDITIONS:
l
I
APPLI ATION ACCEPTCD B'ft FLA S HECit BY AP'nOVEDKFOR I� jUANCEi Typo of Occupancy 5�® Division
B'(� Con;t. Group
.o.�.v...r.. ..�.....�,,•.,-�,......_....�,.....,,....._Y..o....�..-.._.,.,...�tasa. Size of Bldg. No. of Max.
nG
(Total)Sq. Ft. �� Stories f Occ. Load /0
CONTRACTOR n.1=F;DAV1� cry
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE ✓
the State of Washington and I am ev-are of the MOBILE HOME !
ordinance requirements regulating the work for which -
!he permit Is issued and all work done ;rill be in Special Approvals Required Received Not Required �
cnnfornnance therewith. ZONING J
f-- /� �+ HEALTH DEPT. (os Q
,rnl---J I' .f,-_�/-d C�nS�r PUBLIC WORKS
ROAD DEPT.
-
ic. —[)ate Uvel
I
OWNERS AFFIDAVIT
,ertif ;' ;it I am exempt from the requirements of the N O T I O E
_'cntr ?r registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of ;lit I'Aason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
.vl—1 ;!,1.; permit is issued and that all work done will
be. m conformance therewith, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
S NO-i COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner_.._. _ - ..- Gate ___---_._--- WORK IS COMMENCED.
I . VALIDATION C :",.0 CASH PERMIT VALIDATION Ch M.O. CASH
�r
i
1. b ...
MASON COUNTY Pl.,.A:.N.NIN ., 0F!PAR > AAFAST
P,O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark bores where applicable.
Name Mallingaddress—Number,street,city,and State Zip code Tel.No.,
Owner
2. a`c ern YJ,, `ramp �1
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Meson County and State of Washington
Signature of applicant t Address Application date
LEGAL D SCRIPTION �+Location
---
Location
Of
Building _
NO. PLUMBING FIXTURES FEE
WATER CLOSETS d
BASINSAD
' BATHTUBS
SHOWERS
WATER HEATERS 0 CY r
7
AUTO,WASHERS �U
SINKS Z 010-
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS 1
Connect to City Sewer ` �c� I �
DISH WASHER �je
DISPOSAL
URINAL
,ti d
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT v/"eq j 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.