HomeMy WebLinkAboutBLD4296 Final SFR - BLD Permit / Conditions - 12/18/1980 Koroch, Ben #4296
3-16-79
Lot 72 Rainbow Lake
Contractor
Juno Bilt Homes
Residence Plumbing Permit issued
$30,960.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �3- �l- 79
PERMIT NO. e
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS I Gp vim/—i¢iwraY 3 It-APAoX S' �rict, %�/�A- � % ®/y r- t+►'�' <ii+a' <<r� /Lv dre
TO JOB SITE ��v— yC-- /✓ L Si sr L / iY1 y %liUzc fyGo
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. LG 7- 7Z �Z,l-/ /g04j L10-44
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
oet
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USE OF
BUILDING1 /r✓ ` yr ` , �<)&C3 VE7//G 6-
Class of work: /$'NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS _ I DECKS_ CARPORT I_ NOTICE
BATHROOMS _ TOTAL SO. FT. GARAGE f
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I I DETACHED i_
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. PERMANENT ! ! SHORELINES I
Firm -TL SEASONAL FLOODPLAIN ❑
_�l 1A/D 3/L'T /-� ,
E.D. NO. S.E.P.A. ❑
By r��, � i�vr e:Efi ( 2A-eSS& Special Approvals IN OUT YES APPROVED NO
Lic. No. 1441yEd 13 JLI I Date 3J/�� 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. -7Q 3 fb^T C
" . 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 _ n BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
_ � r
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.
1.
Owner
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 of applicant Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS 0-0
BASINS ,0-0
BATH TUBS
SHOWERS
/ WATER HEATERS p-O
AUTO.WASHERS V"0
f SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRYTRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT L� SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approve by Permit fee Date pemit issued Permit number Receipt No.
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