HomeMy WebLinkAboutBLD6728 Final Elementary School - BLD Permit / Conditions - 8/25/1980 No., Mason School District #6728
6-24-80
Belfair Elementary School
Portion of 29 & 32 T. 23 N. R. 1
Contractor
Wade Perrow Const.
Plumbing Permit
Elementary School
$80,000.00
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1,15
BUILDING PERMIT APPLICATION
a MASON COUNTY
lW" P.O. Box 186 Shelton, Washington 98584
.
,(e 426-5593
V). DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS ^ CITY&ST TE ZIP PHONE
)
DIRECTIONS I ``
TO JOB SITE v C, S�t.�,1 ��n�)
LEGAL ( SEE ATTACHED SHEET)
DESCR. �(j c�,., O-' A 2 N
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
1/�4 �E
USE OF
BUILDING —'Le-M
Class of work: ❑ NEW ❑ ADDITION WALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ ��T PLAN CHECK FEE PERMIT FEE
33
SPECIAL CONDITIONS: tx_�
I
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED E SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT f OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I_I DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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
rl ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT [ SHORELINES f l
\�``,�'�-" ,� �j SEASONAL L] FLOODPLAIN f]
FirmeGXJ 0�..� C O�,.bTv�"�il��.
E.D. NO. S.E.P.A. CI
By 1,3 Q Special Approvals IN OUT YES APPROVED NO
Lic. No.QA-W- ^ 2_j15 D8 Date 3 0 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS I
I ertify that I am exempt from the requirements of the FIRE MARSHAL
ontract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT. C9
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. M TO VEHIC MIT
A ATION ACC D BY PLANS CHECK BY APPROVED FOR ISSUANCE
t
mer Date . BY
N 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
X� IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
1. 7-IL
Owner
2.
Contractor
The owner of this building and the undersi ed agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant, I e,/ Address Apphi tion date
LEGAL DESCRIPTION
Location r,
Of
Building
tq
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS Q 0
FLOOR DRAINS
/ DRINKING FOUNTAINS Q
LAUNDRY TRAYS
Connect to City Sewer
I
DISH WASHER
DISPOSAL
URINAL O d
-- -- - - — - (Show Street Names & Property Lines)
— INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 3 JO SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
— ------- ON OTHER SKETCH.
7,?d'
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
oro d by Permit fee / Date pemit issued Permit number Receipt No.
v $ 17- p9