HomeMy WebLinkAboutBLD13474 Mobile Home - BLD Permit / Conditions - 1/5/1983 - BUILDINGPERMIT APPLICATION
MASON COUNTY /q/4e
P.O. Box 186 Shelton, Washington 98584
426-5593
/ DATE ISSUED
/N!t,� I;QLck&E X,F6,&ra-GC 4 f7d( s PERMIT NO. 43
OWNER I�MIL ADDRESS y CI�'dJeTE ZIP PHONE
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DIRECTIONS e� // q�
TO JOB SITE /Mt,61 ,� (i/�Vt Iltl[. 61,6;
LEGAL (0 SEE ATTACHEDISHEET)
DESGR. S� y
CONTRACTOR
NAME MAIL ADDRESS I CITY d STATE LICENSE NO. PHONE
USE OF �1
BUILDING czu A ej re6z c�
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
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(O x Y G;),
Valuation of work: S 16 `� O D PLAN CHECK FEE PEi MIT FEI / S
SPECIAL CONDITIONS: J
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED O SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIE BASEMENT❑ OR AIR CONDITIONING.
TOTAL SO. F7. 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 180DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and am aware of the FOROFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT - SHORELINES r
SEASONAL ❑ FLOODPLAIN O
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals UINOUT I YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVITHEALTH DEPT.PUBLI certifythat I am exempt Irom the requirements of the FIRE MAcontract or registration law RCW 18.27, and am awareBUILDING DEPT.of the Mason County ordinance requirements for
which thi p it is issued and that all work done will ROAD ACCESS
be i c r ance therewith. MOTOR VEHICLE PERMIT
r APPLICATION/ACCF . BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date. (�S/J 1V/
I
' VALIDATION CK. M.O. CASH PERMIT VALIDATION K..I M.O. CASH
West Coast Latvian
'gducation Center #13474'
24007 - 48th Avenue West, . 1/5/82
Tacoma, WA 98043, 634-1802
SE 1/4, 8-20-4
1 mile West of Correction Center, See Attached
Mobile Home Contractor:
14'x64' Self
' $16,576.00
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