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Home My WebLink AboutBLD10876 Garage - BLD Permit / Conditions - 6/25/1981 MABEY; ,navid' #10876 1130 E2linor, Shelton, 06-25-81 600 on left down Mikkelson Rd. off Mason Lake Rd. 34-21-3, S1/2 SE1/4 NE1/4 SW1/4 Garage Contractor - Self $6,048.00 z//.s`8/ gp BUILDING PERMIT APPLICATION MASON COUNTY Box 186 Shelton, Washington 98584 i �� I ► 1 �h U� 426.5593 _ OL n 'l DATE ISSUED � , v PERMIT NO. 10 9 7 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE TO JOBI SITE l E 606 / n (eT r4i LEGAL g / C _ ,/ C_/ SEE ATTACHED SHEET) J iDESCR.1 t�l �` ( C Z �/ /V svv NAME MAIL ADDRESS CITY&6TATE LICENSE NO. PHONE CONTRACTOR bo USE OF BUILDING QQ Class of work: ',jeN EIV ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 6 0 VA v c) , Valuation of work: $ ' ^. �Q PLAN CHECK FEE PERMIT SEE n SPECIAL CONDITIONS: 7A BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE L] ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT L7 OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ 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 SEASONAL ❑ FLOODPLAIN Firm E.D. NO. S.E.P.A. ❑ 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. M VEHICLE PERMIT c APPLI TIC A PTED B PLAN CHECK BY APPROVED FOR ISSUANCE Ow/e. Date BY PL N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT ON CK. M.O. CASH PLOT PLAN ADDRESS PERMIT NO. a o i o LEGAL DESCRIPTION LOT BLK ADDITION u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7t 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 GRAPH SQUARES ARE 5' X 5' OR 1"=20' I Al 1� r- I/We certify that the proposed constr tion will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. 11 (� E..S c rt 1\ NAME(S) OF OWNERS) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE GHELTON IRINTING 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 I, / Zip code Tel.No. `s Owner v`'' 2. �� E! ` 54tjXmH 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/" c Address Applicatjon date Q -Z /ate LEGAL DESCRIPTION / C- Lo01 cation / Building ` `�� rid �t/� /S ``✓c O '1 cST h L � NO. PLUMBING FIXTURES FEE / WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS I FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS i Connect to City Sewer DISH WASHER DISPOSAL URINAL v` (Show Street Names & Property Lines) O� INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT Q`L� SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved Permit fee Date pemit Issued Permit number Receipt No.