HomeMy WebLinkAboutBLD0412 BLD22024 Final SFR - BLD Permit / Conditions - 11/21/1990 3 30 :5 E o
V RESIDENCE
Pernut ND. 0412 No. Floors 1 Sq Ftg 960
Owner SIGNER, Mike Tel 275-6774 Date 6-24-8
Address p,O.Box 633 Belfeir Zip
Contractor Self
Address Zip
Legal scription Beard's Cove Div. 5, Lot 40
Direction to project site
Plumbing x Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft other
3 bdrm.
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S7iorelines: mlA
Setback: han
Special Interior:
Conditions: FINAL:
Mobile Home:
Swke Detect :
Remarks:
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Setbackz
ation
s: L
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED ,(
PERMIT NO. 7 !
OWNER YA i MAI�ADDRESS CITY&STATE ZIP PHONE
�/� Ira o � 3
DIRECTIONS _����
TO JOB SITE
LEGAL 7_' / gL (❑SEE ATTACHED SHEET)
DESCR. �1 V J
CONTRACTOR
NAME �L-� MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
JV
USE OF
BUILDING 0�V L
Class of work: f NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEES
216 el, C' __—?5- C o
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
NO. OF STORIES BASEMENT El ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT.-'IAka FIREPLACE ❑ 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 F O 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 ❑
SEASONAL ❑ FLOODPLAIN
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT. (or
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT. ✓
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
APPLICATION ACCEPTED BY PLAN CHECK13Y APPROVED FOR ISSUANCE
Owne �+�-� " Date. �' BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
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.
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
Si ature of applicant Address Application date
X 3i ��' �`� 1c) 6 -3 -k�
LEGAL D86CRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS '
/ BASINS
BATH TUBS e.� Ale
SHOWERS
WATER HEATERS er C,
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
C7
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT GrJG SKETCH IN SEPTIC TANK 3 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.
s /47m -d
fRISTMASTOWN PRINTING