HomeMy WebLinkAboutBLD14613 Final Mobile Home #25 - BLD Permit / Conditions - 9/13/1983 BUILDING PERMIT APPLICATION '
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 l �--
DATE ISSUED_— — --
t
PERMIT NO. 4 �
CITY 8 STATE ZIP PHONE
NAME MAIL ADDRESS ..��� ��CITY
Z 7S' S'P 2-
OWNER S a4�'F/AL ' WAs.� 24 —
DIRECTIONS �� S5� ` ��lT�i r - j {'C
TO JOB SITE 444..---JJJ
LEGAL ,j 23 'I `fA,N v/'.G.CQ
�✓O i..i r f 1 SEE ATTACHED SHEET)
DESCR. �V �{A/ ,�,� C AA/_ .e c; 2
MAIL ADDRESS �O�`y CIN 8 STATE LICENSE NO. y7S- j PHONE
NAME _
CONTRACTOR -L,_O se /
yq
USE OF
BUILDING Res ,y 1 'CAIL e'"W 2 -
Class of work: NEW ElADDITION ❑ ALTER ION Li REPAIR
G MOVE C7 REMOVE
N. A6,' M -
Describe work:
MoUk QZ -'A
O ^ PLAN CHECK FEE PERMIT FEE /j '
Valuation of work: $ l,t Q� '-{
t
SPECIAL CONDITIONS:
BEDROOMS_— _ (DECKS.—. — CARPORT ! NOTICE
BATHROOMS —_ TOTAL SO. FT._— GARAGE '. SEPARATE PERMITS ARE REOUMED FOR PLUMBING, HEATING, VENTILATING
ATTACHED OR AIR CONDITIONING.
NO. OF STORIES_ BASEMENT '..: -
TOTAL SO. FT.. 907 FIREPLACE DETACHED ( THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOI COMMENCED -
WORK IS
CONTRACTORAFFIDAVIT SUSPENDED OR ABANDONEID FIORA PERIOD OF 180 DAYS AT ANY T180 DAYS OR IF CONSTRUCTIONTIIME AFTER
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
the State of Washington and I am 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 PERMANENT SHORELINES
conformance therewith. FLOODPLAIN
SEASONAL ;
ED. NO._ S.E.P.A
Firm IN OUT YES APPROVED NO
Special Approvals
By
ZONING
Lic. No.-----Date
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT PUBLIC WORKS
I certify that I am exempt from the requirements Of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTW VEHICLE PERMIT
— LICAT NA EP ED BY PLANS CHECK By APPROVED FOR ISSUANCE
Owner — Dateto
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
FELDMAN, Jesse #14613
9-2-83
32-23-1, Sam Theler's Home & Garden Tracts, Tract 20
N.E. 20 Roessel Road, Belfair, Space #25
Golden Bell Mobile Home Park
Contractor
Mobile Home Repair & Set-Up
Mobile Home 479-3260
$17,094.00
;ucn3 � K7r+ [<77d ro £ KiKfK1 � ti7 C (D
m g o n w p X o m r o n n G rt o m rt o
w x �b w m m ° 9 , (D n� o• * n
n m r r n n .. w C 'U w �'• H. m
m £ •• w w p w w r p w n p co r
n % o 0 o wp n wau rr arOa r �
{ N 0 n n iy m� 04 ` .. o. .. c .. m
x r m p o m
J
p
rt w w a
M r n
m p
p J'
t
c