HomeMy WebLinkAboutBLD16478 Mobile Home #20 - BLD Permit / Conditions - 1/31/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 DATE ISSUED Ol`�
—
PERMIT NO. -,/;v
NAME MAIL ADDRESS /� /7 CITY 8 STATE ZIP PHONE
;DIRECTIONS
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NAME MAIL ADDRESS / CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR II
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USE OF �y'���✓ C n r7,� �_�
BUILDING
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ Lq.�� PLAN CHECK FEE PERMIT FEE ��-
SPECIAL CONDITIONS:
BEDROOMS. _ _ - (DECKS CARPORT NOTICE
BATHROOMS TOTAL SO. FT. _ GARAGE '.
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES. _. BASEMENT '. . ATTACHED 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 that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conforman therewith. PERMANENT SHORELINES
SEASONAL FLOODPLAIN
Firm E.D. NO. _ S.E P.A.
OPLANNINGDEPT.
ovals IN OUT YES APPROVED NO
By
Lic. o
Date
DEPT.PT.. lOWNERS AFFIDAVIT RKSI certify that I am exempt from the requirements of the HALcontract or registration law RCW 18.27, and am aware EPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be m formance rewith. MOTOR VEHICLE PERMIT
ACCEPTED By PLANS CHECK By APPROVED FOR ISSUANCE
Owne Date . By
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CK. M.O. CAS
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
PERRY, Lois A. #16478
1-31-85
Sam B. Theler's some & Garden Tracts
Tract 20 32-23-1 (Golden Bell Mobile Home Park)
261 SE Craig
Shelton Space 20 98584 426-0951
Contractor
Belfair Quality Homes
Mobile Home 1984 14x66 2 bdrm.
$17,094.00
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