HomeMy WebLinkAboutBLDAB-2 Remodel - BLD Permit / Conditions - 4/28/1977 Johnson, Wes #AB-2
4-28-77
Alderbrook Country Club Lot #8, 9 & 10
Repair R Plumbing Permit issued
$10,350.00 Contractor
S & W Contractor
I
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATEISSUED 4-28-77
PERMIT NO. AB-4C 2
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Wes Johnson Union, Wa. 98592 898-2155
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Alderbrook Country Club, Lot #8 - / O 876-9348
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR is & W Contractor 15497 Glenwood Rd., S.W., Port Orchard, Wa. 223-01-SWCON244Q4
USE OF
BUILDING Motel Rental
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION Iifl REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Remodel
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
/ Di
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVf}D FOR ISSUANCE Type of,., Occupancy Division
BY Const. "up
-� Size of Bldg' Nei. of Max.
(Total) Sq. Ft. tones 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.
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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for 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
Owner to. , 7 WORK IS COMMENCED.
01 N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON C(t UNTY PL AMMIMIS hFQAF"TM-FMT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL iterns. Mark boxes wnere applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
�. Wes Joluison Union Wa _ _ 98592
Owner
z. S & W Contractor 15497 Glenwood Rd. , S.W.
Contractor
O .—_
The owner of this building and the undersigned agree to conform to all applicable laws of M"son County and State of Washington
Signature of applicant Address Application date
R,
LEr.AL ES � TION
Location Alderbrook Country Club, Lot #8
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
COCP
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS C
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
Basic Fee 3.00
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
Ap roved by Permit fee Date pemit issued Permit number Receipt No.
,�yyrfp $ 9.00 4-28-77 AB-4C 2
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