HomeMy WebLinkAboutBLD11994 Final Mobile Home - BLD Inspections - 4/5/1982 I
BUILDING PERMIT APPLICATION
0
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. // 9 9 Y
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS I 1 l l I 1 l
TO JOB SITE 4Q6( ��roh1 �4a 6� �o e�.rT E �E T R v>� �'�2 ' o Tir T r
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. S _ G-t' J
AME ` MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTORQ� a-, 23 0` ?7
USE OF
BUILDINGd.y�
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ Q. PLAN CHECK FEE PERMIT F
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED El OR
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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.
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware ILDING DE= le
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
X be in conformance therewith. MOTOR VEHICLE PERMIT
.. .Zr APPLICATION ArCE_PjED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date CV
U
PAAN CHECK VALIDATION CK. M.O. CASH PEIAMIT VALIDATION CK. M.O. CASH
Culley, harry J. #11994
(373-2943) 2/4/82
SE 1/4 of 7421-1, Tract B
West from Grapeview to Rauchart Road then left on R
Rauchart then left on first gravel road.
i
Mobile Home Contractor;
Victor Johnson
$9,360.00
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