HomeMy WebLinkAboutBLD9329 Final SFR - BLD Permit / Conditions - 1/29/1985 Warren, Sam 0. _ #9329
5-20-76
Lake Christine, Lot #12
Vacation Home
Plumbing Permit issued
$15,704.00
/7s
r BUILDING PERMIT APPLICAYION /
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&ST.AIE ZIP PHONE
DIRECTIONS ,
TO JOB SITE C-' 771
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. , C' S 1, '4 " c P' I o �.S
CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE I LICENSt NO. PHONE
USE OF
BUILDING u, 0
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
Describe work:
Valuation of work: $ /� 70� o PLAN CHECK FEES PERMIT FEE J/ �`
1 c.,
SPECIAL CONDITIONS:
APPLICATIQtJ ACCEPTED BY, PLANS CHECK BY APPROVED FOR ISSUANCE Type of �- Occupancy Division
BY r-i Const. Group
J
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
HEALTH DEPT. F �ocL.S`C
Firm 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
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
Owne Date. WORK IS COMMENCED.
i
PLP�DI CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Fees are $2.00 per fixture plus $3.00 basic fee.
Please make check payable to Mason County Treasurer.
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.
5 frM UJ h-k 9 3 0 S tl S'�, as lti� 9� 531-22 7
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
Signature of applicant Address 9v T Application date
LEGAL DESCRIPTION
Location
B SeG �- O — �3 1< YJ Al
Building
0 0
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
/ BASINS
/ BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS a
SINKS d
ZO
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
/ DISH WASHER
/ DISPOSAL 0 v
URINAL
dt 6 v
— (Show Street Names & Property Lines)
Basic Fee 3.00
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT I?dD 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.
/&j. -'� $ / ?- t-- Ivv-/- / 7 y' y/417