HomeMy WebLinkAboutBLD11903 Mobile Home #38 - BLD Application - 1/7/1982 BUILDING PERMIT APPLICATIONS 3
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �— T
DATE ISSUED IeA Cj
PERMIT NO.
OWNER MEE
MAIL ADDRESS CITY6STATE ZIP PHONE
(;0/Yl/hAA/S S X 38 LFA/izjAfAj5-
DIRECTIONS JVl�A'!.1 �O t
TO JOB SITE `-3� -o?3
I.. SEE ATTACHED SHEET)
LEGAL
DESCR. S CE hoc n6N ELF /`/O(3/LE y0/tE f'fIgK B�LF/9/R 4,/ASif -55�'
NAME MAIL ADDRESS CITY 8 STATE N O. PHONE
CONTRACTOR
USE OF
BUILDING WELL/
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
jivs7-ALL /ti'-t3:LE orr�
Valuation of work: $ 0 PLAN CHECK FEE PERMIT F
SPECIAL CONDITIONS:
BEDROOMS_. (DECKS —_ — CARPORT : t NOTICE
BATHROOMS—, _ TOTAL SO FT__ _ GARAGE L.
ATTACHED L� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT f 1 I yt OR AIR CONDITIONING.
TOTAL SO, FT. 0 FIREPLACE N A DETACHED L' THIS PERMIT BECOMES NULLANDVOIDIF WORK OR CONSTRUCTION AUTHOR-
4�Xge ONITRACTORA FIDAVIT IZEDISNOTCOMMENCEDWITHIN180DAYS,ORIFCONSTRUCTIONORWORKIS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
WORK IS COMMENCED.
I certify that I am a currently registered contractor in
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 PERMANENT( SHORELINES -i
conformance therewith.
SEASONALiI FLOODPLAIN fl
Firm E.D. NO. S.E-P.A. I
Special Approvals IN OUT YES APPROVED NO
By
Lic. No.—
Date ZONING
PLANNING DEPT.
HEALTH DEPT. / -1-S2
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
ich ihi permit is issue nd that all work done will ROAD ACCESS
e in nformance e w h. MOTOR VEHICLE PERMIT
AP ICATION ACCEPTED9Y PLANS CHECK By APPROVED FOR ISSUANCE
Owner ie - /� t1, n/
I.
M.O. CASH
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.