HomeMy WebLinkAboutBLD17976 Mobile Home - BLD Permit / Conditions - 9/23/1985 BUOMPEAMITAPPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �1P�/Q/r•oZ 3 S
DATE ISSUED
i
2
D VL PERMIT NO.
OWNER NAME MAILAD p 38TAT ZIP PHONE
,- Of� 1 r
DIRECTION
TO JOB SI 0*7e
LEGAL p / 11 SEE ATTACHED SHEET)
DESCR. l/. 4 O .,�y��• �t.�TS G� p? o�o�� o� -7s�5'�l �'
NAME MAIL A ESS CITY rE STATE LICENSE NO. �c�y nr2 rHONE
USE OF
BUILDING A
Class of work: IV NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
o &0 aer
Valuation of work: S�Q�t ?� PLAN CHECK FEE PERMIT F)SE
SPECIAL CONDITIONS: dAft
•�/
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SO. FT GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT
MMENCED WITHIN 1So DAYS,( i IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I Certify at I am a currently registered contractor in WORK IS COMMENCED.
the St of Washington and I am aware of the FOR OFFICE ISE ONLY
ordina a requirements regulating the work for which
the mit is issued and all work done will be in
conf mance therewith. PERMANENT ❑ SHORELINES p
SEASONAL❑ FLOODPLAIN ❑
Fir E.D. NO. S.E.P.A. ❑
By Special Approvals IN ', OUT YES APPROVED NO
Lic. N Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. r-
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 inconformance therewith. Q MOTOR VEHICLE PERMIT
OWnef�be��r� („ Date(- APPLICATION ACCEPTED BY PLANS CHECK BY D FOR ISSUANCE
!�, ;
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
CHRISTMASTOWN PRINTING
TYYB MOHTLS HOME
Permit No. 17976 No. Fi rs __. S1 Ftg 1344_
Omer LONG Florence B. ° Tel 275-5 19 Data 9-2, 3-85
Address - NE 4255 No. Shore Belf air zip
Contractor
Address Zip
2-22-2
i Legal Description
ro� Tr. 8 of Gov Lots 2 & 3
Direction to peIct site
Panorama Mobile, Home Pak Belfair
pl iBg ' C pica --� t tove
Fireplace-- Deck _ GPs 90 port
Basement _ Loft` Ogler
1985 28x48 3 bdrm.
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