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Home My WebLink AboutBLD1101 Final Refrigeration Bldg - BLD Permit / Conditions - 6/29/1982 0-SULLIVAN, H. M. #11013 E. 110 S. Coulter Creek Rd, Belfair 07-16-81 Hwy 3 toward Belfair about 600' past Southshore turn Sam B. Theler & Garden Tract 31B Refreigeration Building Contractor - Self $1,001.00 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME M;11 ADDRESS //O CITY 8 STATE D ZIP �;Fi� E� oa �r10/ /d DIRECTIONS TO JOB SITE LEGAL /� �7- �j� (❑ SEE ATTACHED SHEET) DESCR. E2Ea2_ -I�(�L�i�J ( �(�B k,4 O NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR USE OF 7 BUILDING Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work�• lC�G001IZ4vz aoJ /t�► .411 Valuation of work:' PLAN CHECK FEE PERMIT FW Z9J SPECIAL CONDITI BEDROOMS DECKS__ _ CARPORT i i NOTICE BATHROOMS TOTAL SO. FT._ _ GARAGE [; i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ ATTACHED [_ OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE i , DETACHED I 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER 1 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/ SEASONAL [! FLOODPLAIN Lj Firm E.D. NO. S.E.P.A. i I 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. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS b in conformance therewith. MOT R EHICLE PERMIT APPLIC 10 TED BY PLANS CHECK BY APPROVED FOR ISSUANCE r �J/1 Date. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS v��/I (� l// � J--PERMIT NO. ° o A > o LEGAL DESCRIPTION LOT BLK ADDITION u SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20, ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE rgRAPH QUARES ARE 5' X 5' OR 1"=20' illQ I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. N ME(S) 00 OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OFOWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOWTHIS LINE APPROVED DISTRICT AS NOTED 7`S/Jd DATE GHELTON PRINTING L 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. If s. Gov . Vie - a7s=4io� Owner Qg � 2. O 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 Applicati date zc F 730 Ca s';&e-PA 7 / f LEGAL DESCRIPTION Location Of Building NO, PLUMBING FIXTURES FEE WATER CLOSETS BASINS I I BATH TUBS SHOWERS WATER HEATERS i AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER Sti DISPOSAL URINAL ----- ------- i -- -- -- (Show Street ames & Property Lines) 'UGC/ INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT 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 permit issued Permit number Receipt No.