HomeMy WebLinkAboutBLD4206 Kalalock Cabin - BLD Permit / Conditions - 1/13/1977 Cash, bon #4206
1-13-77
Lake Limerick Div. 4 Lot 178 Contractor
Lumbermen's of Wash.
Kalalock Cabin Plumbing Permit issued
$10,800.00
�� ����
� � ��
o,�:u,��p w,o ,�..�,. �-�-�G�
-- �
D.
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED 1 ,13 177
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
AJ CASH O 5 : -0A A -2 7
DIRECTIONS C:OUA)TY 1fRCDAD TO LAKIF L/MEQKK, TURN RIGHT Ov OLD 4- YM E ROAD
TO JOB SITE Nl)?Z) .LO T" Cal/ RIG HT
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 1.O r 1'7 � � LAKE L/M,ERI C k
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHQIE
11-VM6ERM,'=Aj51-1Q)4F-S /9n X/ NET U-ME54--EV323RE2bl
USE OF `
BUILDING RECI?,EA-T/4N
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
E EC A - 2 KALAL0Q<
Valuation of work: $ /O Q OO PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: V
APPLICATION ACCEPTED BY PLANS CHECK BY A ROVED FOR ISSUANCE Type of Occupancy Division
�2ZConst. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load /(f
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
Firm�yLy( 13EiPMEN XA S �/OE S HEALTH DEPT. 71
PUBLIC WORKS
/�C� Z
By ��IJ/� -ZjAL�,A/ezZ G3 l�Gl� ,C L� ROAD DEPT.
Lic. No.L�%�lR-F�'►/ ` 23R T Date 1 7
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 Date. WORK IS COMMENCED.
PLXN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
�i BOUNTY PLANNING DEPARTMENT
MA"
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street,,ity,and State Zip code Tel.No.
DON z 0 9 � _ �g�2 3
T
Owner �1 A U 6UR�1aA -76 Y 3
2. T M E P O x 700
Contractor 2 6 �
HOMES L7-O A
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 date
j kL,1 PO 60_X -70O 5b, L TD //i 2/7 7
LEGAL f5ESCRIPTIOK
Location —Of //��
Building L tJ 7 QI L-/ E/?-/
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
' BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
l DISH WASHER
DISPOSAL
URINAL
0,00
(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
i Approv by Permit fee Date pemit Issued Permit number Receipt No.
`�aL
h
�V%
f�
ry
c�
I
i
ZJ TO \
O N