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Home My WebLink AboutBLD10319 MIS18981 Studio - BLD Permit / Conditions - 3/31/1981 Duncan, Thomas ' #10319 3-31-81 q/9tha ôw Old Elma Hwy. , right on Lost Lk. , left at fork - Pumphouse 6-19-4 - NW SW NW (legal under Lawrence L. Stevens) Artist Studio (dirt floor o insulation, no plumbing) $12,920.00 ,/uw'cad j, -SXrd'y- - / i0-�j-1� �n n<1 isewwt Ok O 'PERMIT NULL & VOID BY EXPIRAT SN )ATE L " BY �� If BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 /_7//' DATE ISSUED PERMIT NO. -// OWNER MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITEI th4/ "/ A(T LEGAL I / (❑ SEE ATT HED EET) DESCR. /�,�` _ N E MAIL ADDRESS ITV&STATE LICENSE N P NE CONTRACTOR USE OF BUILDING Class of work: EW ❑ ADDITION El ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: • Valuation o PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: C/ BEDROOMS DECKS CARPORT I NOTICE BATHROOMS TOTAL SO. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. FT5O FIREPLACE ❑ 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 am aware of the ordinance the FOR OFFICE USE ONLY requirements regulating work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES I SEASONAL LI FLOODPLAIN Li Firm E.D. NO. S.E.P.A. Li By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT 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 which this permit is issued and that all work done will ROAD ACCESS be in conforman er ith. 1OTOR VEHICLE PER IT LJIGATION ACCEPT Y PLANS CHECK BY V IS UANCE Gl' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLAN ADDRESS 7- 1-/ z2G X PERMIT NO. n s a o LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20 ARE 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 PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AD 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 THEREOF. '�► INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X5 OR 1"=20' - _ _ _ _ - '7-- i 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. NAME(S) OF OWNER(S) OF 317E & STRUCTURE(S) (PRINT) RE OF OWN 3I O AU HORI D REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DAT SHELTON PRINTIN3 MASON COUNTY 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. 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 WATER CLOSETS BASINS BATH TUBS Q SHOWERS WATER HEATERS AUTO.WASHERS C) SINKS r�e 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. 0O NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved by Permit fee QU Date pemit issued Permit number Receipt No./7CHRISTMASTOWN PRINTING