HomeMy WebLinkAboutBLD19724 Final SFR - BLD Permit / Conditions - 5/28/1987 TYPE RESIDENCE
Permit No. 19724 No. Floors 1 Sq Ftg 800
Owner ROWSON, Jim Tel Date 12-29-86
Address 2373 NE Breezewood Bremerton zip
Contractor Olsen Const
Address NE 15421 No Shore Rd Tahuya zip
Legal Description Wooten Lake Lot 34
Direction to project site Elfendahl Pass Rd to Mt View
Rd. Rt .8 mi 561 Mt View Dr
Plumbing x Mechanical Sewer Wood Stove
Fireplace Deck 144 Garage Carport
Basement Loft Other
2 bdrm
Shorelines: Plumbing: e/�/ 1-71 42
Setback: ,� Mechanical:
Special - Interior:
Conditions: FINAL: a,C-s In C1S o
Mbile Home:
Smoke Detector:
Remarks:
Footing: 77 72 7rh < �P-R H It-
Setback:
Foundation
Walls: 0 /---'
Framing:p 2 i C 9
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED (�
NIT• PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
o Z373 N, �..s.�2.L kAPo 0 /, ,,, ,e ar o G�
DIRECTIONS /n1 5 4eW r- C����O
TO JOB SITE �/�`y!Q'A' /C� � i:� .� /�Y!
LEGAL (❑ SE9 ATTACHED SHEET)
DESCR. L d /'_ 3 /�/ t L-AO O 7:;:v7 /,Q, f-L OL S E/l/
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENS O. PHONE
O/sue �v� ��i�
USE OF �� /
BUILDING V Q _� / p vJ hC S / CYee-✓!G e-,
Class of work: 2-NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
s 0 t //�7
iI G o O i--
2 d
Ba
Valuation of work: $ PLAN CHECK FEE PER T FEE
27 C' 0 5. e o S y
SPECIAL CONDITIONS:
BEDROOMS 2- DECKS ,','/ CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT./y� GARAGE ❑
NO. OF STORIES BASEMENT ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. F . ��'a FIREPLACE ElDETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
Lonformance
ONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I am a currently registered contractor in WORK IS COMMENCED.
f Washington and I the
aware of the FO OFFICE USE ONLY
uirements regulating the work for which
issued and all work done will be in �/
:�7>
therewith. PERMANENT SHORELINES P-
� SEASONAL ❑ FLOODPLAIN ❑Fi E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT
YES APPROVED NO
Lic. No. /SGh 1971� Date �G7 /�B� 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��-�-� BYa�
':HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASTOWN PRINTING
MASON COUNTY
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.
�. o w so •-7 237 it C- � s-3 5'2 -/3 0
Owner /
z. 7` /11�`/S 2 / O Flo, l qF-5-7 27 2 4
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sign a of applicant Address /� Application date
-a—� 2 3 /VE u<v o�-4
LEGAL DESCRIPTION
LocationOf
Building h�
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS C?
/ BATH TUBS
SHOWERS C'
WATER HEATERS C C
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(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.
CHRISTMASTOWN PRINTING
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