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HomeMy WebLinkAboutBLD4398 Final SFR - BLD Permit / Conditions - 12/18/1980 Koroch, Ben #4398 Juno Bilt Home 3-30-79 Rainbow Lake Lot 66 Plumbing Permit Residence $40,780.00 I` y- 1i-7p �1 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 Gy DATE ISSUED —30_ 7 PERMIT NO. 7"c7 ! CT OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE E" "q- /?a< yz Me GGv.7 r� �� -1// Sys-- J1s-6 DIRECTIONS TO JOB SITE LEGAL f� (❑ SEE ATTACHED SHEET) DESCR. G�� /ry/�©kO GfTit CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE •— ✓�� - ,3.�T �� /cs i_4,e 9,v,7 USE OF BUILDING Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE r PERMIT FEE ? /�� SPECIAL CONDITIONS: q BEDROOMS DECKS _ CARPORT U NOTICE BATHROOMS TOTAL SQ. FT. w'I =' GARAGE'S ;rj qo /' ATTACHED l� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF 5TORIES_Ly- BASEMENT OR AIR CONDITIONING. c'r M��3f�r7� DETACHED ElTOTAL SQ. FT.�li_ FIREPLACE t `��yyrr THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 101d "PrA"- 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 ❑ SEASONAL !' FLOODPLAIN El ciillcs .. /j!c-i !'�c>�'/t`� E.D. NO.__ - S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. v" 413 - 2/ aV 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. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Own Date BY t PLAM CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY PLANNING DEPARTMENT a 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. Owner 2. u- S 9*-j 7/ =At)7c 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 d ?V7 LEGAL DESCRIPTION Location Of Building lv7•'-' 6 ,6 NO. PLUMBING FIXTURES FEE WATER CLOSETS �— BASINS BATH TUBS SHOWERS WATER HEATERS r �� AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER r3 d DISPOSAL URINAL C1 (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 Approved by Permit fee Date pemit issued Permit number Receipt No. 9 3�3e _ �y' � 9cF PLOT PLAN ADDRESS PERMIT NO. f o = a n D LEGAL D o O DESCRIPTION LOT BLK ADDITION e4i I` IS r, �•�� 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 EASEM TS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION Al"D SEWER ER TION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SH LOCATION 0 S.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. y' y L INDICATE N TH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' \. It to + 1 r ' --+ the proposed construction will conform to the dimensicfnsprld uses shown above and that no changes will be made without first obtaining approve. ► ►RS uy (r f��� j,i'�j V Icy NAME(SI OF OWNER(S) OF SITE R STRUCTURE(S) (PRINT) I`N URE OF OWNERS) OR AUTHORITSO REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINTIN."s 1