HomeMy WebLinkAboutBLD9054 Garage with Bath - BLD Application - 3/29/1976 -Z
BUILDING P MIT APPLICATION
MASON COUNTY /Z3Z� >
P. O. Box 400 ' Shelton, Washington 98584 T�G
DATE ISSUED
PERMIT NO.
OWNER MAIL ADDRESS
,/� ZIP PHONE
AJ
XFl— _10
DIRECTIONS
TO 10B SITE �is-Es--�s�rw.�
LEGAL c"eEE ATTACHED SHEET)
DESCR. G^
MAIL ADDRESS - PHONE
CONTRACTOR _ `/
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING /'
Class of work: NEW ❑ADDITION ❑ALTERATION '❑ REPAIR ❑MOVE ❑ REMOVE
Describe work: l !
31' (rZ
4C
Valuation of work:$ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR SSUANCE BY
Type of Occupancy ►/�{�
Const. Group X( Division
Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT Spacial Approvals Required Received Not Require
ZO
I Certify that I am a currently registered contractor in the State NINd
of Washington and the County of Mason and I am aware of the HEALTH DEpT.
ordinance requirements regulating the work for which the permit PEMNLIC WORKS S;f el M 'J
Is issued and all work done will be in conformance therewith, 95AD Dgpr,
Firm
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract.
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued
and that all work done will be in conformance therewith. N 0 T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
R HEATING. VENTILATING OR AIR CONDITIONING.
; 7 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
Own Date AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHELTON PRINTING CO.
MASON COUNTY PLANNING DEPARTMENT
f P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
LEGAL DESCRIPTIO ,
Location �� Q ''
Of NS N S
Building
E W side of feet E W from intersection of
Sect. Twp. Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS
C EACH UNDER 60 MBTU SEWER SEPTIC TANK
/„5`
BASINS rc7 EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBTU M}_G'J��
SHOWERS EACH 200 TO 500 MBTUAO
� 1�A10 0
WATER HEATERS EACH OVER 500 MBTU
AUTO. WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
ti
DISH WASHER
Kod �H
DISPOSAL
URINAL
Distribution System
By Special Permit
(Show Street Names & Property Lines)
AS ic- Fee, '9,a D
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
�-- FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
PERMIT C?0 PERMIT
FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street city, and State Zip code Tel. No.
1.
Owner —
2.
Contractor
The owner of thi uilding and the under ' ed agree to conform to all applicable laws of.Mason County
Sign re f nt A s Application date
` c?
_ DO NOT.WRITE IN THIS SPACE_— FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.
RANGE I TOWNSHIP 23 SECTION 30
SCALE P' = 400'
2 I SAND HILL ROAD
7J S 2//49 76 S 4/79
-
7500010 ) i I I 09I
1 7500070 7500080 1 7390 92
S 111154 SP 2622 /// 1 / 3P 430
7590021 7590022 ///Im4t A 1a 7®4 / j 39090
093
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sP I 32 7500100 �z 12330 14 60000 -RTll m.tD.
7590 7590 7590 1 ab a-W
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SP B77 1 T•__�_ _ -_ _____I
I la a0oaa - --/ f SPM 782
7500040 1 't100a, 7! , 11Y•90117 12.90114
z /7e ama4 �' 7500120 / 1
$ 111155 / / SP I B I
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S /2/39 7500130
2100010 S f0/B7 11 14 1�'
PARCEL NUMBERS LOCATED 2100000 11
IN 6.L.
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1 32000/0 30 • 3200700 LOT 2
2 3200020 I 24.90002 Iz.IS
J 3200030 33 3290330 1
4 3200o10 34 3290340 1 LOT 1 -_ SP 2319 \;` 7300160
7 •22325-30-01003 J6 • 7P90360 1 24.90001 '
6 J1200060
i // JP001/0 J7•.7P90370 j i LOT B 24-90003 '
13 •]20O/300 I 7300100
a IN G.L. 1: 1 i I
/4 7P00I40 4.SP 1098
LLo /6A • 3260/70 6 • 3390060 I I LOT 4 24.90004 1 7500170 12330 10 67000
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17 ]200170 339OOB/
g 1B • 3200180 (Sp 9421 .g0281 7300190
14 JJ90023 -
(SP 16261 '
2/ Y900210 7500 7500 7500 , SP 170
22 3100220 -90262 230 240 270
23 3P00230 � 75 7300
w 2
7 3290270 (SP 10971 ' 200 ar/rz•ra
2 z 29 • 3290290 ISP 1097) -90263 r' 7300 90211 90212 am -m)
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7300270 416002D
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O 0251 252 2S3
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z TR.I 3200250 I SPR./4
-90234 7600010
ac uaazei 32.90262-902633 SR 9/4 i
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VOL. 9 PO. 45-46
BEARDS COVE a7 oa u4lu
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REV 12-1-22-926-D2I 3 4 FOR REFERENCE USE ONLY
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THURSTON-MASON HEALTH DISTRICT PLEASE REPLY BY
P. O. BOX 746 110 WEST K STREET
SHELTON, WASHINGTON 98584 REGULAR. AIR WIRE
Pa
PHONE(206) 426-4407 MA" MAIL
Jim Connolly, _.R.P _. __... .. ......._....._.__... . March 30, 1976.... ......_..TO __ ._. DATE..,.._.,....,.....,
P.O. Box 186 Site #4676
_....,.,_ .......... __...,_ SUBJECT-........,. ,
Shelton, Wa 98584 Jesfield Tracts Lot 24
Mr. Sam Barovich is planning on building a garage with a half-bathroom
in it. He has our approval to connect it to the existing system
without further investigation.
Sincerely,
_................ _... . . .........._- ............,
Marjory Dilworth-Dale, R.S.
cc: Sam Barovich SIGNED�W A Ludi&Z
��
L J I
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RECIPIENT-Please sign and return pink copy