HomeMy WebLinkAboutBLD4245 Addition - BLD Permit / Conditions - 3/8/1979 Tefft, Wesley #4245
3-8-79
G. L. 1 25-22-3
1.8 miles from Casa de Canal toward Twanoh State Pa
on water side.
Addition Contractor
Bresee Const.
$25,000.00 Plumbing Permit
Variance granted for 30" setback.
CA<
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED ��7��r`�
PERMIT NO. o�7'y'
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER U uw ` ,001 S l - 7
DIRECTIONS
TO JOB SITE l ft
LEGAL i JJ (❑ SEE ATTACHED HEET)
DESCR. �ove rh h,� p OY12 s tcl iuh t�v tr, ti<„F -��/ f�hsh� Z A(OL �� 3 v,i� Gc,,t4
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR �" � �vhSf_
USE OF
BUILDING N y ,-a too r"'
Class of work: X NEW >q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
,Z 5 e co
SPECIAL CONDITIONS:
BEDROOMS 4 DECKS CARP1bRT ❑V NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 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
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. c� PERMANENT Li SHORELINES I_;
SEASONAL ❑ FLOODPLAIN i
Firm \ E.D. NO. S.E.P.A. 1 i
By Special Approvals IN OUT YES APPROVED NO
Lic. No.r14 � "` �`"U 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 `7
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
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
PLA CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
t � t
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.
t. l
Owner
/} { �'' Iti S, of 1
2. ! t r S ! &k P L i C►► N/a�
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sign a a of applicant Address Application date
o/' V LOVr
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
r
BASINS
BATH TUBS
SHOWERS J
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer )I
I
DISH WASHER
DISPOSAL
URINAL
— - — — (Show Street Names & Property Lines)
-— -- — --- — — 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
proved by Permit fee Date pemit issued Permit number Receipt No.