HomeMy WebLinkAboutBLD12857 Mobile Home - BLD Application - 8/19/1982 BUIEDI P #T APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �,
DATE ISSUED it
PERMIT NO. t ( r
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
DIRECTIONS
TO JOB SITE
LEGAL - -- '"� .. a (❑SEE ATTAC. D SHEET)
DESC S
NAME MAIL ADDRESSIV CITY&STATE IL LIC O. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ -REMOVE
Describe work:
G Wide
Valuation of work: $ PLAN CHECK FEE PERMIT FEr$
3 p
SPECIAL CONDITIONS:
i
BEDROOMS DECKS CARPORT❑ NOT I C E
BATHROOMS. .a.11 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 BEC6MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOTCOMM*#CED WITHIN 18D,DAYS,OR IF OONSTRUCTION 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 COMMENGEB.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOBFFI USE �Y -- E
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 AP NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT EALTH,
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARS
contract or registration law RCW 18.27,-and am aware ILDING z Si' 1 m
of the Mason County ordinance requirements for 2
which this permit is issued and that all work done will R AD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
1CATIOZA � ;ED gY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner. Date. 6
PLtX CHECK VALIDATION CK. M.O. CASH FTERMIT VALIDATION CK. M.O. CASH
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MASON REGIONAL PLANNING COUNCIL
I
Sbc#tm,Wwhiogton M94
Pb"e 426-5593
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e MESBA - DATE ANS08t W7
32 982 FRKPLY DAtE
f TO
Dennis 4< Kristian, Be"iafghas� e a visit to the park to 1=96sti
c/o Debbie Latsoa he eifst►#iva. we bow* tb.r
ME 4253 North Shore Boad, Space i5 al, we can go skead and issue
Belfair, W tom 9$529 ero t.
Bear Mr. S Mrs. tress aa: plsaaa 02ense the inconvenience,
We are ale to Lamm a building permit and bopefully any auistiag problems
for the set-up of your mobile home on space fl be worked out quiekly.
due to the fact the health department will not Sincerely,
give their approval of the addition of your uob
boles to the panorama Mobile Home Park. You map_
want to contact their department at 426-5561, to i
discuss any problems which may exist. Frou what
I madasrstand, one of their sanitarian is p
SIGNED SIGNED
e 4S 473 +1' r«..
PART 3 WILL BE RETURNED WITH REPLY.
DETACH AND FILE FOR FOLLOW-UP