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HomeMy WebLinkAboutBLD14387 Plumbing Garage - BLD Permit / Conditions - 7/15/1983 Jackson, Sam & Gloria #14387 275-4522 7/15/83 Baard's Cav* #8, Lot 110 Same Plumbing Only Contractor: Exempt Garage Self Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace : Wood Stove: Plumbing: Mechanical: Roof: Exterior Interior : F _nal:-e�-"6 / / g/A0 Stop Work: Mobile Home: Smoke Detector : Remarks: ONDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATEISSUE IJ PERMIT NO. OWNER NAME MAIL ADDRESS CITY& TATF 21P PHONE DIRECTIONS TO JOB SITE r LEGAL (❑SEE ATTACHED SHEET) DESCR. i*v I to NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR ,• f^ USE OF BUILDING Class of work: je NtW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: t yrl O t -2 ' e4ejC x O•+- / w -Z f9 Li T1_r v �G aluati n of work: $ K PLAN CHECK FEE y� PERMIT FEE SPECIAL CONDITIONS: BEDROOMS I DECKS — •CARPORT Ll NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED CJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT C7 OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED L] 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 i i SHORELINES I 1 SEASONAL LJ FLOODPLAIN LJ Firm E.D. NO. S.E.P.A. [_I By Special Approvals IN OUT YES APPROVED NO Lic. No.— Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. 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 Owne APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE r ��t� '' � /�t��"' v Date. AN 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. +G1a6Ae Ic Wn P.O. box 965�5 ;M'-912) z. �Lf 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 LEGAL DESCRIPTION Location Of FAI Building • NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS / FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL Ii URINAL • Da (Show Street Names & Property Lines) J' INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT �v SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Appro y Permit fee Date pemit issued Permit number Receipt No. �s�3 $ 7 7 1,5 5 Oc''17