Loading...
HomeMy WebLinkAboutBLD14612 Final MH Space 22 - BLD Permit / Conditions - 9/1/1983 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 �— j DATE ISSUED I PERMIT NO. �1 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE IRECTIONS 41 TDO JOB SITE }►j� t,� H� IOI /LI .SO vrt� h N auh /ro'Jz /QO ( dCaC !'c j' LEGAL �a i ( ❑ E ATT HE S ET) DESCR. Ia-� '� �V�1 n riz L I —�© cx K O© —3c)c3�k ME AIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR ©D . 9 d h; /C- d d G i S USE OF /^ T 21- G-F12 BUILDING � (�h", C- ��,1�' Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: (Mob'f F— t�pvvv V - & --:3 & 0 Valuation of work: $ Y� / PLAN CHECK FEE PERMIT FEE l� / (0 j SPECIAL CONDITIONS: BEDROOMS_ _ {DECKS CARPORT 5< NOTICE BATHROOMS__ (TOTAL SO. FT. GARAGE BASEMENT ; ATTACHED L. OR AIR ATE PERMITS CONDITIONING.RE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT [-, 'J TOTAL SO. FT.-5 FIREPLACE I_i 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 F F I C E USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES I SEASONAL I i FLOODPLAIN i Firm E.D. NO. S.E.P.A By Special Approvals IN OUT YES APPROVED NO Lic. No.— Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. 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 �✓ whi this permit is issued and that all work done will ROAD ACCESS b in conformance therewith. MOTOR VEHICLE PERMIT /! C APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE wn t Date . / / f_�/ D�� I Z� - CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH APPEL, Victor #14612 9-1-83 Plat of Union Tracts 1-30, Block 100, E. of R/W & Tracts 1-30, Block 93 Robin Hood Mobile Home Park, Space #22 Contractor Robin Hood 426-6922 Mobile Home $7,663.80 Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls:— Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final:a Stop Work: Mobile Home: Smoke Detector : Remarks: 4A4 ct- )