HomeMy WebLinkAboutBLDAB-7 Remodel - BLD Permit / Conditions - 4/28/1977 3 ,2a33-51 - ���-►
Unden, Allen #AB-7
4-28-77
Alderbrook Country Club, Lot #17
Plumbing Permit issued
Remodel
Contractor
$3,650.00 S & W Contractor
w n
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 4-28-77
PERMIT NO. AR== 7
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Allen Unden 4802 Colman Cam Rd. N.W. Gia Harbor Wa98335
DIRECTIONS
TO JOB SITE
LEGAL (❑SEE ATTACHED SHEET)
DESCR. Alderbrook Country Club, Lot #17
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTORS & W Contractor,15497 Glenwood Rd.,S.W. ,Port Orchard,Wa. 223-01-SWCON244Q4 876-9348
USE OF
BUILDING Motel Rental
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION EYREPAIR ❑ MOVE ❑ REMOVE
Describe work:
Remodel.
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
3,650 28.00
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 Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
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
ROAD DEPT.
By
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
e 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
l , i1 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner �" �` ►w�l4te. WORK IS COMMENCED.
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY KANNINIG7 nFPA4?TAAFNT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
t. Allen Unden -00 man On= Rd- ,
owner
Gig Harbor Wa. 98335
z. S & W Contractor 1549 G1enw,oDj-BA-,,S-X—
Contractor Port Orchard, Wa.
The owner of this building and the undersigned agree to conform to all applicable laws of M Ason County and State of Washington
Slgaatu,r of applicant J Address Application ate
LEG L DES TION
Location Lot #17 — ----
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
1 BASINS 2.00
BATH TUBS
SHOWERS
1 WATER HEATERS 00
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
Basic Feb 3.00 INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT 9�00 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.
(, ��;��z�y►-o-(-� g 9.00 -28-77 AB- 7
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