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Home My WebLink AboutBLD11772 Mobile Home BLD0443 Mobile Home #7 - BD General - 11/23/1981 BUILDING PERMIT APPLICATION F MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS n CITY&STATE `_ yy/�Q[So.JCaJRo✓.SFj n/E 2v „OisSSL QD "7 gf�s4r2 (dA SS�.� R �SPS/�`j DIRECTIONS TO JOB SITE /y LEGAL DESCR. i SEE ATTACHED SHEET) CONTRACTOR NAME MAIL ADDRESS CITY&STATE / LICENSE NO. PHONE USE OF BUILDING Class of work: G NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR El MOVE ❑ REMOVE Describe work: r1t� � </ / 9R0 - Valuation of work: $ /-,�7/ _ PLAN CHECK FEE PERMIT FEE f o ��PP SPECIAL CONDITIONS: BEDROOMS _— iDECKS. - _ _ CARPORT : NOTICE BATHROOMS _ _— TOTAL SO. FT._— _. GARAGE NO. OF STORIES_ _ BASEMENT I I ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SO. FT._. FIREPLACE iI DETACHED : , CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR 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 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. tBUILDINGUEPT. ENT MOUTYES Firm AL .. By - Approvals Lic. No.__ Date ING DEPT. OWNERS AFFIDAVIT DEPT. WORKS I certify that I am exempt from the requirements of the RSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for G DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. C MOTOR VEHICLE PERMIT Owner .�j��-,��(a I ¢ O/ LIGATION AC EPTE BY PLANS CHECK BY ROVED FOR ISSUANCE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH Wagner, Nelson #11772 11-23-81 Golden Bell Mobile Home Court Sp, 7 Tr. 20 Sam Theler's Tracts 32-23-1 Mobile Home z ,TI JJ V ti '7 T7 0 11 C; I Jn m (n k O h O '+ 't 2 G'. t i O fD S I i 1 i i 3 7 0 7 n rr O n O ry y n O 7 V I N n G I ! i f� ;� � �^!•• �.� 0�� r art r- = r n �l � i m n I I I 7 m I ! ! f f y t } I I I I l I f i i !! i I ! i i 1 it BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED t^ Q PERMITNO. n 4 CITY STATE ZIP PHONE -3?)- NAME MAILADORESS , (-, �7 OWNER { I IZ 6 Y / JCc DIRECTIONS c; ' \ Llc" s TOJOBSITE 1 SC AC-0 � / T Ti'• 2O LEGAL T�7E Z- CZ�FI7 NO. " Q zip r PHONE AME MAIL ADDRESS CITY BSTATE CONTRACTOR — 3SL C) jAw �T USE OF BUILDING MOVE REMOVE CLASSOF NEW ADDITION --'� ALTERATION REPAIR WORK ✓ DESCRIBE \,. �_ 1--n WORK V o Pei e) 'J DECKS CARPORT NOTICE BEDROOMS SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOM TOTAL SQ.FT. GARAGE CONDITIONING. S ATTACHED THISPERMIT WITHIN DAYS, CONSTRUCTION BECOMES VOID WORK CONSTRUCTION AUTHORIZEDE NOT NO.OFSTORIES BASEMENT 180 TOTAL SQ.FT.�� FIREPLACE DETACHED ABANDONED FOR APEROD OF 80 DAYS AT ANY TIME AFTER WORK IS COMMENCED, OR PERMANENT SHORELINE SEASONAL CONTRACTORS AFFIDAVIT OWNERS. FFIDAVIT 1 CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS CERTIFY THAT 1 A A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF M AWARE NCE REQUIR REGISTR ION LA ROW 18.27, AND WHICH PERMIT WAREOANDTHAMASON COUNTY RK ORDINANE NCE WORK GT WHI NANCH HE PERMIT F IS EIS UEIDAAND REQUIREMENTSALL WORK TDONE WILL INBE THE IN CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMAN FROM THE BUIILDING DEPARTTH.NO MENT. ES ALL BE MADE WITHOUT FIRST OBTAINING APPROVAL OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. DATE X ER C� FOR OFFICE USE ONLY APPROVED BUILDING VALUATION APPROVED DEPARTMENT YES NO DEPARTMENT YES NO FEE HEALTH PUBLICWORKS / FIRE BUILDING PERMIT PLANNING PLAN CHEC BUILDING K D.O.T. pRE INSPECTION SPECIAL CONDITIONS BUILDING GROUP SHORELINE i PLANNING PLUMBING MECHANICAL STATE BUILDING FEE �•�� STATE SURCHARGE APPLICATION ACCEPTED BY PLAN CG 2G0 APPRO�VE�DD FORISSUANCE PERMIT VALIDATION TOTAL leg., BY I •J� CASH CK MO TYPE MOBILE HOME Permit No. 0443 No. Floors Sq Ftg 1680 Owner RAYMOND Dean Te1377-6778 Date 9-23-86 Address 56-A Olding Rd Bremerton Zip Contractor Belfair Quality Homes Address NE 23840 Hwy 3 Belfair Lip Legal Description Sam Theler Home & Garden Tr. Tr 20 Direction to projec si e Golden Bell Mobile Home Park Plumbing Mechanical — Sewer oo tove Fireplace Deck age _carport _ Basement _ Loft Other 1986 28x60 3 bdrm Shorelines: �lu�nbinq�: etb4ck• ec an pe d al Interior: Conditions: FINAL: Mobile Home: Smoke Detec EE Remarks: Seo ac�: �on�dation ay s: Framin : '-„arr Wood Stove: