HomeMy WebLinkAboutBLD10873 Final Mobile Home - BLD Permit / Conditions - 6/29/1981 AVON
?4A ON COUNTY
P.O. Box 186 Shelton;Washington 98584
426-5593
DATE ISSUED-
PERMIT NO.
OWNER pl;A E rr ,,
MAIL ADDRESS CITY&STATE ZIP
DIRECTIONS ! /Air Sr. Poe nn»I on i / � ftb Park
TO JOB SITE 4,�' lt' d� �• /ti i!'! Pow"WI�11 q
LEGAL r/ ) 1 _ t❑SEE ATTACHED a
DESCR. `^� p /,r;-v �ou h idt' 4 4 rn4U a
�f
CONTRACTOR NAME MAIL ADDRESS CITY'&STATE dLicE SE NO. PHONE
USE OF
BUILDING lTlYYd �/
Class of work: IN NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: _
✓ `�- to S"
Valuation of work: $ Al. 0004w-
PLAN CHECK FEE I , PERMITi
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SO. FT GARAGE ❑
NO. OF STORIES BASEMENT❑N ATTACHED ❑ . SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. F 0 FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL,.AND VOID IF WORK OR CONSTRUCTION AUTHOR
CONTRACTOR AFFIDAVIT IZED IS NOTCOMN(ENOED WITHIN 18tiDAYS,OR IF CONSTRUCTION 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 COMMENCED.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
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 KEPT.
OWNERS AFFIDAVIT HEALTH DEPT. _
PUBLIC WORKS
f certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 1847, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
e in or' ce therewith. MOTOR VEHICLE PERMIT
NfATION ACCE B PLANS CHECK BY ROVED FOR 1 UANCE
O(er JdL' _Date 4 Roe Q r..6Y
AN CHECK VALIDATION CK. M.O. CASH V PERMIT VALIDATION CK. M.O. CASH
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PLOT PLAN
ADDRESS Ste• A 771 ,DeY -"LXPERMITNO. -
� e
LEGAL °s
DESCRIPTION LOT. .� SLK ADDITION «
SITE AREA Sq.Ft. AREA OF SITB`QC"40 BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FO NEED NOT USED WHEN PLOT PLANS.PRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED MN •PERMIT CATIM 1EACH SNILDING°SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NIdW tL VlDE THE PO 40 FORMATION IN T'� SPACE ISLOW: LOCATION OF
N'1$.SHQW SUILOING,SITE. ND TPACK`.DI4lEN-
SIONS:^ F11i1Iii�C�ITCItJ qR .FIRST FLOORfLEVAt�ON, Sr1i68T ELEVA-
TION !ks'CI A. ELE4ATiON. 1ON OF WATER,'SEWER. GAS ANb ELECTRICAL
Sam VI6E`'i:�NES.SHOYM L ATION OF SURVEY PINS" SPECIFY THE USE OF EACH SW LOINQq AND MAJOR-POR-
TIONTHERBOF.
INDICATE NORTH IN CIRCLE' GRAPH SQUARES ARE 5' X 5' OR 1"-20'
Mills certify that the proposed oonat►uetlon will wnform to the dioneroW n mW uses Chown above end that no charges will be nude widwo
fiat obtaining approval
�j/4`. x L- 4 ' . au
go T
` APIROVER DISTRICT AS NgbTED DATE
NitLTCMI PNINTINO
Sou Z87J, wait 110�73
06-24-81
Past Belfair St. Paai-k� `31 00 0�
2-22-2, Tr. 8 r , 2 mile on left is P
s Gov't Lot 2 6 3 3 aaorama Park
Sout
h
Mobile Home
Contractor - Self
$24,864.00 I
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