HomeMy WebLinkAboutBLD16512 Mobile Home #30 - BLD Permit / Conditions - 3/18/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED - — —
i
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER '� : I$nv i Atiu ; z
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DIRECTIONS ^Tr.Aa J li:�- v •�// �'
TO JOB SITE
LEGAL A17ACHE0.6�iEET1./ Z�
DESCR. /��
KPH
MAIL ADDRESS CITY 8 STAT / LICENSE NO. PHONE
CONTRACTOR / /�J7�./Y!7/7 �/ /�D LJ i �g� j7-> ?✓ J/_..
USE OF +-yy
BUILDING
Class of work: f'. NEW ❑ ADDITION El ALTERATION G REPAIR MOVE El REMOVE
Describe work:
T- ? - 7-2 v 01 v e —�e r P
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Valuation of work: $/ , O� PLAN CHECK FEE PERMIT FEE
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SPECIAL CONDITIONS:
BEDROOMS — IDECKS_. -_ CARPORT`Y, NOTICE
BATHROOMS — TOTAL SO. FT. _. GARAGE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, MEATtNG, VENTILATING
NO. OF STORIES_. _ BASEMENT ATTACHED I OR AIR CONDITIONING.
TOTAL SD. FT,/;,a- 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 ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State ofq Washington and I the
aware of the FOR FFICE USE ONLY
ordinanc requirements regulating the work for which
the Per it is issued and all work done will be in
SA
Confor ante therewith. NBUILDING
ENT P
AL '-
Firm _ ._.
pprovals ROVED NO
ayDate ING DEPT.
DEPT.
OWNERS AFFIDAVIT
WORKS
I certify that I am exempt from the requirements of the ARSHAL
contract or registration law RCW 18.27, and am aware G DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be n conformance therewith. MOTOR VEHICLE PERMIT
1"�� ,y///V ABRLICAT ACCEPTED BY PLANS CHECK BY VEDD FOR ISSUANCE
Owne �.1_.__ ^'� —Date /moo ( _ 1YJ •�Lc L� _e
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PLAN CHECK VALIDATION . CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OZIER, James P. #16512
2-19-85
Sam Theler's Home & Garden Tracts Tract 20
Golden Bell Mobile Home Park
NE 1870 Tahuya River Drive
Tahuya 98588 275-6750
Contractor
Bremerton Mobile
Mobile Home 1978 52 x 24 2 bdrm.
$15,600.00