HomeMy WebLinkAboutBLD10183 Final Mobile Home - BLD Permit / Conditions - 4/9/1981 McGuire, S. W.
#10183
3-11-81
Detroit - Tr. 2, Block 30, Lots 1, 2, 3, 4 & 17,18,19,20
300' N. from Treasure Island entrance in Grapeview Rd.
Mobile Home
$14,208.00
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• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3 _
DATE ISSUED �--
PERMIT NO.
OWNER NA E e ;AIL ADDRESS �if-eeO� '��r CITY 8 STATE y ZIP PHONE
DIRECTIONS T -r/,
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCRat
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
4ily
Class of work: V 2tNEW ❑ ADDITION ❑ ALTERATION F7REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS `DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. 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.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL FLOODPLAIN El
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.
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 onformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTEQjBY PLANS CHECK BY ROVED FO ISSUANCE
Owner Date. ^ Y
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH