HomeMy WebLinkAboutBLD14261 Final Mobile Home - BLD Permit / Conditions - 6/28/1983 i
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BGILDING PERMW APPLI ATION
MASON COUNTY
PA. Box 186 Shelton, Washington 98584
426-5593 o2p3 G�
DATE ISSUED �[ Q IO.
PERMIT NO. I Q 6
OWNER NAME MAIL ADDRESS CITY a STATE ZIP PHONE
h is m 9�
DIRECTIONS •
TO JOB SITE t l/ V n �(C
LEGAL (❑SEE ATTACHED SHEET)
DESCR,
CONTRACTOR NAME MAIL'"ADDRESS CITY&STATE LKVNSE NO. PHONE
USE OF •
BUILDING
Class of work: ❑ NEW ❑ ADDITION D ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
121-o 146 / ' a -e
Valuation of work: $ PLAN CHECK FEE PERMIT F
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT❑
BATHROOMS. TOTAL SO. FT. GARAGE ❑ NOTICE
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ ia
THIS PERMIT 89MMES NULL.AND VOID IF WORK OR CONSTRUCTION AUTHOW
CONTRACTOR AFFIDAVIT IZED IS NOT WLTHIN 180 DAYS,OR IF CONSTRuanON OR WORK IS
,SUSPENDED 211 D 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 F " OF-Fc IVE USE, ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES a.
SEASONAL❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. ..
PUBLIC WORKS IL
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, 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
be in conformanc therewith. TOR VEHICLE PERMIT
• `AdvAl
A (CATION Ell BY PLANS CHECK BY APPROVED OR ISSUANCE
Owner Date.
PLA . HECK-VALIDATION CK. M.O. CASH V PE T VALIDATION CK. M.O. AS
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