HomeMy WebLinkAboutBLD19119 SFR - BLD Permit / Conditions - 8/11/1986 TYPE RESIDENCE
Permit No. 19119 No. Floors 1 Sq Ftg 560
)wner MC CLAIN, Pat Tel Date 8-11-86
kddress P. 0. Box 49 Tahuya Zip
contractor Lumbermens
4ddress P. 0. Box 1627 Shelton Zip
Legal Description Oiv. 3. Bl. 2. Lot 4
Direction to project site
MAP ATTACHED
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1 bdrm.
Shorelines: lMechanig�'�-.
Plumbi�}Setback:Special
Interior:
Conditions: (FINAL:
(Mobile Home:
Smoke Detect
Remarks:fttwz- U ',L.'I'('e�
Footing: -2-1 '6 dizi I a
Setback: c9i -21 , 1 2 /'�
Fo ndatio
Wa is: )' Z1 - (o/f/ / I
Framing: ��
a' �Fireplace: E�P-RA i ION
Wood Stove:
DA T h .-l-'V T'_
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 S/
DATE ISSUED �/ //-
PERMIT NO. /9'/9
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
CC o
DIRECTIONS
TO JOB SITE
LEGAL I SEE ATTACHED SHEET)
DESCR. iuf 2 i. /k/4a G AB Z` 1.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Il
ii, ame,Jf .8, o /(.bl7 5, /zm,Wi, Aumk3,eTc 26
BUILDING /c/g/-7c E'..-'
Class of work: >(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE
Describe work:
OA' z e/ - t ggG - P/
T
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
ISS,7F-, n 0 a?S •OO so
SPECIAL CONDITIONS:
se
BEDROOM DECKS ^O-' I CARPORT I NOTICE
BATHRO SI TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF TORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL Q. FT.54O 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 FORA PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
/conformance therewith. PERMANENT SHORELINES C
` SEASONAL ❑ FLOODPLAIN ❑
Firn7(� evs /�
E.D. NO. S.E.P.A. ❑
g Special Approvals IN OUT YES APPROVED NO
Lic. NohM &—3-9 /Q/ 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. �fli
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
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.
1. t e !/, ' 1?o, .,,- ,d, 5
Owner
2. e "i-s 0. &X/ 9 7 e d. 5r'y Y2iy
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
gnature applic Address Application date
LEGAL DESCRIPTION
Location
Building
NO. PLUMBING FIXTURES FEE
I WATER CLOSETS C'f
I BASINS 2 ' C'
BATH TUBS ? C C
-O SHOWERS
WATER HEATERS G'? C'
(�- AUTO.WASHERS
SINKS p t^
FLOOR DRAINS
-o- DRINKING FOUNTAINS
-Q LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
C7 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.
CHRISTMASTOWN PRINTING
ILL aT 1P144/
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