HomeMy WebLinkAboutBLD9850 Storage Mobile Home - BLD Permit / Conditions - 4/6/1982 BUILDING PERMIT APPLICATION
' MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
NORTH MASON SCHOOL DIST. #403 426-5593 G p
DATE ISSUED
p• 0. Box 167
Bamr, minim 9w, PERMIT NO. '6
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
O O AIME
DIRECTIONS /�
TO JOB SITE R
F' lA Y9OG
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 's SFAS /# eA 2-V/t •1
p • IL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING �7 'O
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work, /A
Valuation of work: $ PLAN CHECK FEE PERMIT FE ems_.
,SU c) IVA
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. 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 ANY TIME 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
conformance therewith. PERMANENT El SHORELINES El
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
BY Special Approvals IN OUT YES APPROVED NO
Lic. No.
Date ZONING
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 there ith. MOTOR VEHICLE PERMIT
��/���Y APPLICATION ACCEPTED BY PLANS CHECK BY
BYPROVED FOR ISSUANCE
Owner ate. 9it-l:c�""� ' e//
CK. M.O. CASH
PL N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
•
- • • • • • • c - • • . • •
North Mason Pee Wee Assn. #y850L
4/6/B2
Tract 24, Sam B. Theller's Home & Garden Tracts,
Secs. 31 & 32-23-1
Theller Field, Across from Belfair Grade School
Mobile Home (STORAGE) Contractor:
(of Athletic Equipment) None
$3,500.00