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Home My WebLink AboutBLD4909 SFR - BLD Permit / Conditions - 9/9/1976 Knight, Clyde #4909 4 9-9-76 Oak Park Div. 3 Lot 21 Plumbing Permit issued Residence $22,000.00 41 V r d BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED PERMIT NO. 7 / e 9 C�N MEVJ l PHONEMAII; ` f ST OWNER DIRECTIONS /� TO JOB SITE C. " I'1'5S �rlvt' .C?T 7Z CP T ►'j� rJ�? C!f„ LEGAL - (❑SEE ATTACHED SHEET) DESCR. O� /� a r C f NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTORel J� �a � 7 •e USE OF �7 / BUILDING R f Si !a/F'J�"!C P Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ �Ja/ Q�t) PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: u� / APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of 1 Occupancy ✓ Division BY ', , Const. Group Size of Bldg. No. of Max. (Total) Sq. Ft. 0 2 Stories Occ. Load CONTRACTOR AFFIDAVIT /r PERMANENT SEASONAL E.D.NUMBER I certify that I am a Currently registered contractor in RESIDENCE the State of Washington and I am aware of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING r HEALTH DEPT. Firm PUBLIC WORKS f� By ROAD DEPT. Lic. No. �L © s Date P 7WI OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N 0 T I C E contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be In Conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 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 Owner Date, WORK IS COMMENCED. Pl-AWCHECK 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 Mailingaddress-Number,street,^,ity,and State Zip code Tel.No. o Owner I 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 li Add:; / Application date 17 P� LFOAL DESCRIPTION _ GG Location Oak Ark Zo74,21 v/ Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS @-C' BASINS p p BATH TUBS i J SHOWERS WATER HEATERS A2.0-0 AUTO.WASHERS p-Q / SINKS FLOOR DRAINS j v, DRINKING FOUNTAINS j LAUNDRY TRAYS Connect to City Sewer [(�� DISH WASHER I / DISPOSAL 0-0 URINAL A. L� (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 App ed by rPermit;---- Date pemit issued Permit number Receipt No. i