HomeMy WebLinkAboutBLD2357 Deck and Bridge - BLD Application - 6/12/1978 gugoyguBUILDING PERMIT APPLICATION
R MASON COUNTY
MAY 120 5 1978 P.O. Box 186 Shelton, Washington 98584
DEL .ZONES & ASSOCIATES DATE ISSUED/7t
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Wes Johnson, Alderbrook Inn, Union 98592
DIRECTIONS
TO JOB SITE Alderbrook Inn
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Lots 8, 9, 10 & 11 Sunny Beach Tracts, Mason County
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Deck 1,062 sq. ft. $4,248.00
Bridge 4,000.00
8,248.00
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
8,248.00 $48.00
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY PROVED FOR ISSUANCE Type of Occupancy Division
' 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.
irm 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 wo k 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
j� SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner ate. WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION %ZK M.O. CASH