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Home My WebLink AboutBLD10881 Basement - BLD Application - 9/9/1981 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED t9—�—�� PERMIT NO. /08v/ OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS c^ L �— �' S TO JOB SITE �Q J lLD2P !V �ZISSItatJ -P� A?e(F eAj eY -e LEGAL (❑ SEE ATTACHED SHEET) DESCR. hJ Lc T 5 Fr L Off!/G'E NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF C BUILDING L./ V1IU Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 4 Mf�)f Valuation of work: $ � /4(7� PLAN CHECK FEE � � PERMIT FE i SPECIAL CONDITIONS: 5,0 ©C7 • BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMEN `,A OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE f_l DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR 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 certify that I am a currently registered contractor In WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE F r^I A(r^t USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES SEASONAL ❑ FLOODPLAIN L) Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. Date 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 Z(h0-ICATION ACC TED Yj'j PLANS CHECK BY APPROVED FOR ISSUANCE Ow er �— Date . / Z/4L4L BY PLAN CHECK 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 Mailing address—Number,street,city,and State Zip code Tel.No. Owner 2. lib.0 Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington S Zre of applicant Address �7 Application date LEGAL DESCRIPTION Location / -j� Of / r r O die- L G �C.x) r� OG 6 �D / f' L Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS 3a �fL�V r rf�I' WATER HEATERS f LAO l� AUTO.WASHERS O SINKS t� FLOOR DRAINS ®Q C DRINKING FOUNTAINS LAUNDRY TRAYS �1 aConnect to City Sewer f DISH WASHER I / O DISPOSAL ( �Q Q URINAL 81.IT D►4lVe- ` (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 tv Date pemit issued Permit number Receipt No.