HomeMy WebLinkAboutBLD6289 Final Mobile Home - BLD Permit / Conditions - 4/30/1980 Kimball, Harald #6289
4-30-80
Tr. 8 B of SW 1/4 of SE 1/4, 29-23-1
Belfair St. , Last house on left
Mobile Home
$13,450.00 �C
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. CT4�
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS J'a 157
TO JOB SITE EL
PAI 0 v O
LEGAL (❑ SEE ATTACHED SHEET)
DESCR-�R e7 B SW r Off' ffE & 86L FA IR
CONTRACTOR NAME MAIL ADDRES9 CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING dotle
Class of work: @9 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
D �1Lt O
a c�
Valuation of work: $ J 31
PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
V �
BEDROOMS DECKS CARP RT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [I ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which C�
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
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. d (�
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
of he Mason County ordinance requirements for BUILDING DEPT.
hich this permit is issued and that all work done will ROAD ACCESS
/be in conformance therewith. MOTOR VEHICLE PERMIT
�Owne Q ate. APPL ION P D BY PLANS CHECK BY APP ED FOR ISSUANCE
t y
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH