HomeMy WebLinkAboutBLD13158 Cancelled Move Pre-Built Home - BLD Permit / Conditions - 1/9/1991 Houghtelling, Gladys L. & Robert �k468 1"
275-2377 10/5/82
Beard's Cove, Tract 4, Lot 91
NE Galley Road, Belfair
Dove Pre-Built Home Contractor:
670 SQ. FT.
$22,445.00 Plumbing Permit
Shorelines:
Setback:
Special Conditions:
Footing:p p
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove•
Plumbing:�iq. _5 ..•F /
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector•
Remarks:
PAR;;i r
ny
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 `
DATE ISSUED /
„J C N /_ PERMIT NO. r sue!z
0
OWNER AME `, MAIL ADDRESS CITY&STATE ZIP HONE
�, , 7
DIRECTIONS
TO JOB SITE C, p jj P d E'
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 1 fre' e
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
,
USE OF re- , I' d e vi f (k
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
Valuation of work: $ _ PLAN CH CK FEE PERMIT FEE�S�
SPECIAL CONDITIONS:
BEDROOMS !DECKS CARPORT [I NOTICE
BATHROOMS__— (TOTAL SO. FT. GARAGE I:
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES— JBASEMENT [ j OR AIR CONDITIONING.
TOTAL SC FIREPLACE L1 DETACHED
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 i
SEASONAL I ; FLOODPLAIN 1 1
Firm E.D. NO. S.E.P.A. 1
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
p� APPLICATION ACCEPTED BY PLP NS ECK BY APPROVED F ISSUANCE
Owner Date .�� sad //1 /� BY.a
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 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.
Owner / LS
O
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
'/lyc'9r 3 .0 n) u1/A f�
LEGAL DESCRIPTION
Location
Of J
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS v V
BASINS O b
I BATH TUBS Q
SHOWERS
WATER HEATERS
AUTO.WASHERS OCJ
SINKS O
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT (3 dd SKETCH IN SKETCH.
TANK & DRAIN FIELD LOCATION OR SUBMIT
ON
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
$ /S. o v l0 .,�--�=� >9�