HomeMy WebLinkAboutBLD16600 Final Mobile Home - BLD Permit / Conditions - 6/4/1985 MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 14
426-5593
DATE ISSUED
PERMIT NO. �w �C
OWNER NAME �\S AIL ADDR S CITY 3 STATE ZIP .PHONE
' r
DIRECTIONS
TO JOB SITE 'I ' —ole0QLjO i 4
LEGAL � �� �� (0�8EE ATTACHED SHEET)
DESCR.J .
N CONTRACTOR ME A SS I STATE LICENSE NO. PHONE
USE OF 11
BUILDING P o re
T��
Class of work: 14 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
OC
po
Valuation of work: $ � 4O PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS Li CARPORT❑ NOTICE
BATHROOMS_ TOTAL SO. FTjT--Q GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIE,$ (� 13ASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT.9jW— 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 ce ify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the ci
or nance requirements regulating the work for which F0 FFICE USE ONLY
th permit is issued and all work done will be in
T
formance therewith. PERMANENT SHORELINES YVff
SEASONAL❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT --;-ESAPPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
1 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 1 conforms ce erewith.,,f MOTOR VEHICLE PERMIT
LI;yJoN ACCEPTED 8 PLANS CHECK BY APP OVED FOR ISSUANCE
O Date
PLAN CH VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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LEWIS, Donald R. #16600
3-18-85
6
Tract 1
N-1/2, NE-1/2, SW-1/4
! P. 0. Box 26 Allyn 98524 373-3783
1 mile South of Allyn, .2nd driveway on left, second right
Contractor
Bremerton
Mobile Home Movers
J
Mobil 1973 14x70 3 bdrm.
Voipe
12 250.00 ff
$ I
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