HomeMy WebLinkAboutBLDAB-4 Remodel - BLD Application - 5/2/1977 r BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED_4-28-77
PERMIT NO. AB"V 4
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
2 8 8-2155
DIRECTIONS
TO JOB SITE
LEGAL (O SEE ATTACHED SHEET)
DESCR. Al
Country Club Lot #14 e_ S
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
is & W Contractor 15 97 Glenwood Rd. S.W. Port Orchard Wa. 223-01-SWCON244Q4 876-9348
USE OF
BUILDING Motel Rental
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION f REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Rprriodpl
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
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
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
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR 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
Owner / e. -)- WORK IS COMMENCED.
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY PLANNING nFQARTM1FNT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items Mark boxes whers applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
--- ------ 98592
Owner
2. 'S_W_
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 to
Le�=�4
��Ctti —
LE AL DES TION
Location ---—
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS fee
BASINS
BATH TUBS
SHOWERS 9
WATER HEATERS
AUTO.WASHERS afto
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
Basic Fee 00 INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
/sue
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
-]
Approved by Permit fee Date pemit issued Permit number Receipt No.
$ 9.00 4-28-77 ABA 5
MASON COUNTY PLANNING nFPARTWNT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — omplete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
,. Wes jobnRon __ ITninn -_WA.@ - - 98592
Owner
2. S & W Contractor 1 -497 Glenwood Rd. , S.W_
Contractor Part Orchard, Wa _ —
The owner of this building and the undersigned agree to to all applicable laws of M&son County and State of Washington
Signature of applicant T7-'----
ApplipsUo date
4-L1-V w u-4 0— 1
LEGAL DES I TION
Location #14 ��-----Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS Oy'
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
p<J
SINKS
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
iApproved by Permit fee Date pemit issued Permit number Receipt No.
� y $ 9.00 4-28-77 AB)9 4