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Home My WebLink AboutBLD9656 SFR - BLD Permit / Conditions - 12/3/1979 2-0 Bui, Evelyn #9656 12-3-79 Lot 20 Lake Christine First Addn. Contractor Carl Wicks Residence $28,720.00 Plumbing Permit I� 0 i/v `// BUILDING PERMIT. APPLICATION MASON COUNTY ,w P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAM MAIL ADDRESS CI STATE 21P PHONE j= r _;,L_ / DoZ3 ur Y L,,-,.Ay, . 9y5> DIRECTIONS 1 ov%,- ab6- 76-' •3iAlV TO JOB SITE �E q� LEGAL L �po'` D AC Y'1� in Av\r pQ� lon do a ill O�TT4' Cp4 DESCR. `Mdr Sr yt1� `(HCOY�S 1"\vaoh 0-OV►�1� "' 't'(3� 1I✓ VO�. CONTRACTOR NAME v MAIL ADDRESS CITY 8 STA LICENSE NO. PHONE USE OF L 1137 Y r-1 BUILDING Class of work: $NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ � PLAN CHECK FEE S e `' PERMIT FEE 1 SPECIAL CONDITIONS: BEDROOMS—;A,— DECKS CARPORT L NOTICE BATHROOMS_ TOTAL:��T/ o GARAGE ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE DETACHED L] 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 I SEASONAL f FLOODPLAIN I i Firm t � E.D. NO. S.E.P.A. I 1. By A Special Approvals IN OUT YES APPROVED NO Lic. No. 16C G J- N -213- MD Date 3D 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 BUILDING DEPT. of the Mason County ordinance requirements for 4 whicD,U4s,permit is issued and that all work done will ROAD ACCESS bplinc ormanceth ewith. f MOTOR VEHICLE PERMIT ,t APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owne z ate. v �f) BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAT. ADDRESS �� O C�kC— �,I��r�h� �►�,� PERMIT NO. 4 0 a e LEGAL DESCRIPTION LOT C BLK ADDITION u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT S THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1" 20' ARE 0 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 l/ PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA TION P"ID 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 HEREOF. _ 10VA _ s ` INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1' 3 W bit i c�, _6 ,-� / (� lUQ o ZIN- J /' j b l �, I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. AMEW OF ER(s) OF 3 .E 6 STRUCTUREM (PRINT) IGNA TURE OWNERS) O UTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LI E APPROVED DISTRICT AS NOTED DATE SHELTON PRINTING 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. �' �f✓ `� fir— �� Owner 2. .r t7O L��+f� 8 41 I"T Z76 �X-J Contractor (mCJ ct' `r W� SC� J84/ The ywner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington •J re of appli r Address 06 L,G , Application date -tip `/Oo7� ��'r`ora CJr n L.eavr-o 11-.3Cv- W e, EGAL DESC IPTION Location Of Building NO. PLUMBING FIXTURES FEE Z WATER CLOSETS �(ev BASINS , 0 BATH TUBS C SHOWERS WATER HEATERS 00 / AUTO.WASHERS OG' SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER a �� DISPOSAL r� i URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT ��—�r SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved b Permit fee Date pemit issued Permit number Receipt No.