HomeMy WebLinkAboutBLD2379 Final SFR - BLD Permit / Conditions - 1/26/1981 Taylor, Roy _ #2379
6-16-78
Collins Lake Addn. 3 Lot 34
Contractor
Vacation Home Lumbermen's
Plumbing Permit issued
$26,052.00
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" BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED /� 0Z7,f
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
U .Z
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING '0t5 <--7'-tSt.T--���� G��2=1
Class of work: ,Pr NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE aa- PERMIT FEE Cod---
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy — Division
BY Const. Group
Size of Bldg. No. of Max,
(Total) Sq. Ft. Stories ,7 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 1 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.
r PUBLIC WORKS
By
ROAD DEPT.
Lic. NoAO-40Z3—Eu1 Date 6 �Y-7
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 REON NG. FOR 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
Own rl Date. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MAS6N OUNTY PI.ANNlNr ()FQ.A, tTAAFNT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxer vahem applicable.
Name Maliingeddress—Number,street,city,and State Zip code Tel.No.
Owner )_ �3� 3� 1,4
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 Application date
-
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
r-y-
WATER CLOSETS
/ BASINS OG
BATH TUBS Gd
SHOWERS
WATER HEATERS O
/ AUTO.WASHERS
SINKS
FLOOR DRAINS /
DRINKING FOUNTAINS
I
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.