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HomeMy WebLinkAboutBLD3162 SFR - BLD Permit / Conditions - 10/4/1978 Pratt, Charles E. #3162 10-4-78 E 1/2 W 1/2 SE 1/4 NW 1/4 2-23-2 3 mile west of Panther Lake on Bear Creek - Dewatto Hwy (left side of road) Residence Plumbing Permit issued $52,437.50 GIN GpO,� �p �.fn Ofr 3/t8'/79 cj� (fir PERMIT NULL & VOID BY EXPIRATION DATE //2—9! BY 429 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 FP 426-5593 DATE ISSUED 00 07 V PERMIT NO. �� 2 OWNER NAME MAIL ADDRESS CITY ai S ATE ZIP PHONE IC:harle, b, era-t-L 38 0XV, ren.e.r ah will 98310 373-0 78 DIRECTIONS ll� `' ` 1 TO JOB SITE 3 ;, was L O� PCt,461— L_a Ike. erg Bear �t &.— PeL-,(LOo W 4 g i(6 c3{ LEGALI ,,`` SEE ATTACHE HEET) DESCR, �• tv�Ia SF I N� �� CONTRACTOR NAME MAIL A DRESS CITY 8 STATE LICENSE NO. PHONE USE OF ,n_ 9 BUILDING r.,juk 2_ KE'S i 17�eAv-Q. Class of work: )(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ `qj 3�` .�v PLAN CHECK FEE /' s� PERMIT FEE SPECIAL CONDITIONS: BEDROOMS DECKS 1 CARPORT ❑ NOTICE BATHROOMS_ TOTAL SO. FT.2-OC) GARAGE'S ATTACHED � SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT OR AIR CONDITIONING. TOTAL SO. FT.2,7 1 2- FIREPLACE'K 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. PERMANENT SHORELINES SEASONAL ' FLOODPLAIN Firm E.D. NO. S.E.P.A. I 1 By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. Ze V02 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 conformance therewith. MOTOR VEHICLE PERMIT �• ���� /O`' APPLICATION ACCEPTED BY PLANS CHECK BY AP OVED FOR SSUANCE 0v /1 Date.! /'� B !II, ZI& I Qv 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. Lin ar�es L"' e ru O — n 11 'act ' o r r 173-017 Owner R v 4 q8 31 z. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Sign at a Wappl' nt Address Application date 6 53a a.v.d Dt. revv►�r-ox UUi, 983i0 LEGAL DESCRIPTION k �' o-f W f S� / df IU V') of Sec. Z TGt,S P 2 AO Location Of n shed o e q - kerb av�-A-ujc , o Building CID R esc-Ir- e) ck :,rut cw,>t`p NO. PLUMBING FIXTURES FEE 3 WATER CLOSETS BASINS I Z BATH TUBS 2 __-- Q Z SHOWERS WATER HEATERS jA F —� ZIP A n AUTO.WASHERS A/0 + S SINKS N FLOOR DRAINS 6 m ;r _ DRINKING FOUNTAINS P� A A r, LAUNDRY TRAYS J /4' 10 O Connect to City Sewer L, DISH WASHER .� DISPOSAL r URINAL J - — (Show Street Names & Property Lines) Li INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. (Tv u +ode r .4trd*j0,rs File Alo. 3 04 819, records e4 M vsv .: Ctto DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pem`it issued Permit number Receipt No. O , PLOT PLAN ADDRESS PERMIT NO. LEGAL S f'C A AG PlI c� it a DESCRIPTION LOT BLK ADDITION 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 EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION Al"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' 1` C Iris e t 7 I r t e, 1/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes wilt be made without first obtaining approval. p N OF SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE NAME(S) OF OWNER(SI OF SITE h STRUC TURElS) (PRIN TI DO NOT WRITE BELOW THIS LINE APPROVED DATE 1 DISTRICT AS NOTED SHELTON PRTNTIN3 • ,� (� 2 0`� 5 ©.f IULU44- o-f sec- , c J o �e / rrro rt — f rvp Co lid, Ole-se r f b a,, -Tre4 7 d survee rtc-ord } mac 'Vol. J J ,Oate_ 200 u-de r 4Ld; fors F lQ All. 2 0*- 617, re co rclS o 4 Nei d y Co" woj ,