HomeMy WebLinkAboutBLD5301 Final Cabin - BLD Permit / Conditions - 2/6/1980 Ba rage r, Mary #5301
6-6-77
Wooten Lake Lot 50
Contractor
Recreational cabin Lumbermen's
Plumbing Permit issued
$9,600.00
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40 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 `
DATE ISSUED_ /��/7 7
PERMIT NO. —rJ�0
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE /icv VL d UV `. J ✓P /�e� �6 �O' P d*-1114a
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. L.` S o - W D 0,-r
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE L LA " .�,-�.. � Q 2'� 13 - 3 4
USE OF
BUILDING PC La L;to 1-7
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
'ICY' 4-, ,6 �o z
Valuation of work: $ r
oo PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION CEPTED BY PLANS CHECK BY APP ED FOR I UANCE Type of Occupancy Division
��A '• BY Const. / Group
Size of Bldg. No. of Max,
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
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. p
Firm p e Y PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
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.
P N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Iwo #16-
MIASON ('nUNTY PI, A,NNING nFpARTMFNT i
P.O. BOX 186 Shelton, Washington 98884
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street.c,ty,and State Zip code Tel.No.
t. 0 ✓ O 1- Fir t ,�
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
Signal a of appli nt � Address cifi 3 Application date
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LEGAL DESCRIPTIO
Location `
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS Y
BASINS y
BATH TUBS
SHOWERS 2
WATER HEATERS
AUTO.WASHERS
I SINKS 1
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.