HomeMy WebLinkAboutBLD15821 Final Mobile Home - COM Permit / Conditions - 9/19/1984 v
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Special Conditioner
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Wort:
Mopile Home•
Smoke Detector:
Remarks:
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP ONE
o�M,4�t n S / e e f /1 Lt.6"LW
DIRECTIONS / —��
TO JOB SITE D //L (i�NT FO� t#ICS `S D e
LEGAL V ,� b (❑ SEE ATTACHED SHEET)
DESCR. _ C cS� Y /�.�
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR � � r
USE OF D �"
BUILDING x e/
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: Q
D G'
Valuation of work: $ / PLAN CHECK FEE PERMIT FEE ��
SPECIAL CONDITIONS:
BEDROOMS-
DROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
th State of Washington and I am aware of the FOR OFFICE USE ONLY
o inance requirements regulating the work for which
t e permit is issued and all work done will be in
onformance therewith. PERMANENT El SHORELINES El
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
BY Special Approvals IN OUT YES APPROVED NO
Lic. No.
Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. it _0 W
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewi MOTOR VEHICLE PERMIT
�y CAT N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner-2Date. I/
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH