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HomeMy WebLinkAboutBLD16756 Mobile Home - BLD Permit / Conditions - 4/30/1985 MASONCOUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. //�& zt�� OWNER N MAIL ADDRESS CITY I§TATE ZIP PHONE 1/ DIRECTIONS TO JOB SITELanco-MtIt, ik Pn-rr LEGAL r (❑SEE ATTACHED SHEET) DESCR. CONTRACTOR ME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ Q �� OC_ PLAN CHECK FEE PERMIT FEE O/ O SPECIAL CONDITIONS BEDROOMS DECKS CARPORT❑ NOT I C E BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT❑ OR 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 ANYTIME AFTER I certify t at I am a currently registered contractor In WORK IS COMMENCED. the Stat of Washington and I the aware of the FOR ,OFFICE ONLY ordinan requirements regulating the work for which the pe it is Issued and all work done will be in confor ante therewith. PERMANENT SHORELINES SEASONAL❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. 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 I nformance therewit MOTOR VEHICLE PERMIT AP CATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owne ate. BY PLAN CHECK VALIDATION CKC. M.O. CASH PERMIT VALIDATION CK. M.O. CASH CHRI8TMASTOWN PRINTING i F Donald j. 4-30-85 8 of Gov .Lots 2 6 3 2-22-2 NE 4253 North Shore Rd. Sp. 5 Belfair p Panorama Mobile Home Park Belfair Contractor F j Hua-t s Mo ile Home Mobile Home 1985 28x 60 3 bdrm $31,080.00 o�aa vaZ 3 1 -'00©8 I I i i ` y V! h0ice+ M Q fp O rt .p O n b ate' firt n+. per,, Cr µ C" P, 0 p 0 K .. on d �N a hr N, p � i I i I l