HomeMy WebLinkAboutBLD10173 Final Mobile Home - BLD Permit / Conditions - 7/7/1982 Brooks, Thorald
#10173
3-10-81
Treasure Island, Lot 225
Mobile Home - 40 X 24
(Variance for blocks)
$17,760.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /� ✓ �
DATEtSSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS /
TO JOB SITE J- - _12S Z'
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe w rk:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPEC IA ONDITIONS:
t<
BEDROOMS DLOCKS TARPORT ❑ NOTICE
BATHROOMS -2— TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT.-94CL 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 ❑
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 ertify that I am exempt from the requirements of the FIRE MARSHAL
ontract or registration law RCW 18.27, and am aware ING DEPT.
of the Mason County ordinance requirements for
which this permit is issued d that all work done will OAD ACCESS
be in Conformance therewi h. OTO VEHICLE P5WIT
�f A CATION AC D Y PLANS CHECK BY A RO ED FOR IS ANCE
Owner Date. O
r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION j CK. M.O. CASH