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HomeMy WebLinkAboutBLD10339 SFR - BLD Permit / Conditions - 4/2/1981 W,ggner, Tom #10339 ?f?C- 04-02-81 Lot #91, Sec. #3, Beards Cove Residence Wood Stove Permit Plumbing Permit $31,222 Qom' PERMIT NULL & VOIn 9w EXPIRATION DATE/�.BY '~ BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 c DATE ISSUED PERMIT NO. OWNER NAME MAIL AD ESS CITY&STATE ZIP PHONE 7 2 ' DIRECTIONS TO JOB SITE LEGAL J (❑ SEE ATTACHED SHEET) DESCH. b L aldS e NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR n USE OF T BUILDING , Class of work: XNEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ Gy PLAN CHECK FEE r, c"' PERMIT FEE ©� ,�21111 SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES 1._ BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE ❑ IDETACHED ❑ 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 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 SHORELINES 11 SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT 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. = rr of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT AP ICATION AC EPTE BY PI/INS CHECK BY APPROVED FOR ISSUANCE Owner Date. r"". ( BY LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION �. ; 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. 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� f BASINS BATH TUBS SHOWERS (1t' ' WATER HEATERS *� AUTO.WASHERS I SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL —_ --- LM (Show Street Names & Property Lines) -- INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT /1-7/ 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.