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COM10375 Cancelled Groceries and Apartment - COM Permit / Conditions - 1/9/1991
HARNELL, Mr.&Mrs. Delbert #10375 04-09-81 Across Hiway from lst Ent. to Lake Limerick Contractor Dick Look Construction Commercial - Groceries and One Bedroom Apt. Plumbing Permit $30,000.00 PERMIT NULL & VOIV BY EXPIRATICM DATE ay ��: BUILDING PERMIT-APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 IL 426-5593 DATE ISSUED J� L PERMIT NO. /y 3 7..-)r OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS ,I 157 VT TO JOB SITE LEGAL (❑ SEE ATTACHEDSHE NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE u CONTRACTORUSE OF BUILDING (r1111v1z;j�/��L Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: e��ST/1U�T' CP�ilIr�EIZCsi�� �T�/1� �-�?Dc�'iES .�-•�� //0 4CCO"?AO"cE. 0i71'�l AZ_Z_ U��/l�iU S }�- �•�1C �,�T�' C'Q, �' LADLE L�.C��i c.�, - 7'� 8� Valuation of work: $ ,� .rG PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS _ TOTAL SO. FT,ji" GARAGE [] SEPAR_ BASEMENT G ` ATTACHED Ll ti' OR AIRTE PERMITS RE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES TOTAL SO. FT.' FIREPLACE ❑ L 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 SHORELINES [i Firm /_/ L'�v-` 1 SEASONAL [] FLOODPLAIN [l E.D. NO. S.E.P.A. [J By ' L .0 Special Approvals IN OUT YES APPROVED NO Lic. No. /' `` v�R Date .J -� `?S� 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 I O*EE 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 AP ATI(�I ACC ANS ECK BY APPROVED FOR ISSUANCE Owner Date . ���J'fJ BY 1 PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 MASON COUNTY PLANNING DEPARTMENT r 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 States Zip codes Tel.No. Owner �/< /-/ .� i l L' C•L C.. //�/C— ,g�lJ�- — ", 2. /lid 1"'Ime ciIzAe T /- 'X - -wlez-Te'/t 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 plicant Addres 1' Application date LEGAL DESCRIP N Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS __— / SHOWERS WATER HEATERS !© / AUTO.WASHERS `1 f SINKS / FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS — Connect to City Sewer DISH WASHER DISPOSAL URINAL S (Show Street Names & Property Lines) - ----- -- - -- INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT -43Z! ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pemit issued Permit number Receipt No.