HomeMy WebLinkAboutBLD4678 MH Space 29 BLD6574 MH Space 29 - BLD Permit / Conditions - 5/11/1979 Morse, Rita #4678
5-11-79
Robin Hood Trailer Village Space 29
Union
Mobile Home
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 y��1_
DATE ISSUED �f
PERMIT NO.
OWNER E MAIL ADDRESS CITY&STATE ZIP PHONE
ZA
DIRECTIONS f
TO JOB SITE
LEGAL ❑SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME MAIL ADDRESS fPC CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
s
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElOR AIR CONDITIONING.
TOTAL SQ. FT.1I- FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 F] SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY A PROVED FOR ISSUANCE
Owne Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
Boyer, Terry #6574
6=4=80
k
Space 29, Robin Hood �raile Village
K Union - Lots 1 , 30, t1 Lots 1-30, B1, 100
and vacated streets adjacent, except portions E of R/G
Mobile Home
$18,130.00
1-2
J . M . BUILDING PERMIT APPLICATION
r MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED Cam/
< < PERMIT NO.
OWNER NAME MAIL A DRESS CITY& TE ZIP PHONE
U
DIRECTIONS p ) J?, V a-tCL
TO JOB SITE 4 — (J / ,3 / ;3 // 6 o S'Tr Ad iGt t P
FDESCTR..
(❑ SEE ATTA/CHHED S f /l — Ir- /= O Gv
NAME MAIL 4ADD11 CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR %I MOVE ❑ REMOVE
Describe work:
/yXz7o 07 &/)-a a yl"--
Valuation of work: $� _/ PLAN CHECK FEE PERMIT FEE S"
SPECIAL CONDITIONS:
L
BEDROOMS {DECKS CARPORT 11 NOTICE
BATHROOMS I TOTAL SO. FL-f,),Q GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE DETACHED I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 i i SHORELINES
SEASONAL [] FLOODPLAIN I
Firm E.D. NO. S.E.P.A. C
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and at all work e will ROAD ACCESS
in conformance therewith O O VEHICLE PERMIT
A ATION A BY ZPLAS CHECK Y APPROVED FOR ISM
Owne Date. _ tBY
Yl
PLAN CHECK VALIDATION CK. M.O. CASH A PERMIT VALIDATION K. M.O. C<