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Home My WebLink AboutBLD10 Final Addition - BLD Permit / Conditions - 11/13/1979 Horn, William #10 7-26-79 Rt . 2 Box 136 Deer Creek SWk NE'k NWk 36-21-3 Left Past Deer Creek Store, Mobile on Left Contractor Addition n -eanu�.. Plumbing Permit Front Porch, Root Cellar, Rear Addition $10, 500. 00 c �A-6 ' BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED / L PERMIT NO. l© OWNER - NAME AIL ADDRESS CITY&STATE PHONE 1 �' *:v d DIRECTIONS TO JOB SITE / S::Iv C �.4 L-e 1 LEGALDESCR. (�J/ �/' / Z' SEE ATTACHED SHEET) CONTRACTOR NA E MAIL ADD ES� CITY 8 STATE LICENSE NO. PHONE CA� Irbey USE OF BUILDING �__jp S L^_C —� Class of work: ❑ NEW KADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: c14 LX � � LA.- Valuation of work: $ I, i�^/ PLAN CHECK FEE PERMIT FEE e-<, SPECIAL CONDITIONS: BEDROOMS _ DECKS— CARPORT ! i NOTICE BATHROOMS_ TOTAL SQ. FT. GARAGE I I NO. OF STORIES BASEMENT ❑ ATTACHED I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR 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 cc rmance therewith. PERMANENT [] SHORELINES E. SEASONAL [] FLOODPLAIN Firm E.D. NO. S.E.P.A. Special Approvals IN OUT YES APPROVED NO Lic. No. Date 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 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 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.< M.O. CASH 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. 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 BASINS BATH TUBS SHOWERS rE (� (fZ ( •�� WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) L►'G 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 Ipproved by Permit fee Date pemit issued Permit number Receipt No.