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BLD13112 MH Space 30 BLD22534 Final Mobile Home - BLD Permit / Conditions - 8/15/1988
,qqqqq Tenney, Robert R. #13112 No Phone Listed 10/5/82 Plat of Union, Block 100 E of $/W, EX N 100 ' & Lots 1- 30, Block 93 & Lots 1-30 Block 100 Robin Hood Mobile Home Village, Space 30, E 6780 Hwy 106. Mobile Home Contractor: 24'x60' , 1982 Don's Mobile Home $26,640.00 � - V�cl - BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNERji�re MAIL ADDRESS /�/ CITY&STATE ZIP PHONE DIRECTIONS 1 / TO JOB SITE Cf LEGAL (❑ SEE ATTACHED SHEET) DESCR. U*V -i1 /a D 17 w -rx. la O ���D QS1".9913 f-3a �St+� �c a NAME MAIL ADDRE / CITY&STATE LICENSE NO. PHONE CONTRACTOR S y�1 f� � C_ (JB�� /�iCc�s�� Gf,- USE OF ,,-,NAME JE BUILDING o Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE [] REMOVE Describe work: 01 c -, /v9� Valuation of work: $ PLAN CHECK FEE PERMIT FEW SPECIAL CONDITIONS: BEDROOMS {DECKS A/- CARPORT ❑ NOTICE BATHROOMS 2_ TOTAL SO. FT. t/� GARAGE Ci SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES_ BASEMENT L ATTACHED L' OR AIR CONDITIONING, TOTAL SQ. FT.jlt 4C FIREPLACE i i DETACHED C 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 FO OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES iJ SEASONAL i 1 FLOODPLAIN I 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 DEPKS 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 ordinan requirements for w rmit is issued an at all work done will ROAD ACCESS /be in confor a ther i MOTOR VEHICLE PERMIT i, O LIGATION A E T �Y PLANS CHECK BY APPRQ(FQ*OR ISSUANCE, Owner Date O L N CHECK VALIDATION CK. M.O. CASH MIT VALIDATION CK. M.O. CA3 TYPE MOBILE HOME Permit No. 22534 No. Floors Sq Ftg 784 Owner POPE, James Tel Date 8-15-88 Address E 6780 Hwy 106 Union Zip Contractor American Mobile Homes Address Tacoma Zip Legal Description Lots 1-30, Bl. 93 & 100 Direction to project site Robin Hood Trailer Village Space #30 Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 1983 14x56 2 bdrm Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: 46t?e- AjG,- Mobile Home: Smoke Detector: Remarks Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED 12� 5- PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE G. DIRECTIONS TO JOB SITE Q CY x--?,---b// a e.�d PARCEL LEGAL. /// %t TU �- NUMBER DESCR. ,�C7 L1/�/D/7 1, L�Tv` NAME MAILADDRESS CIT &STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK 'r�) j��/J// BEDROOMS__ DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS / TOTAL SQ.FT. 7" GARAGE CONDITIONING. NO.OF STORIES 1 BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. JX OW R DATE X BY DATE FOR OFFICE USE ONLY 4DEPAENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION ©C1 YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING 'y-cry" FIRE BUILDING PERMIT \ <" D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP R`j PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE ICATION ACCEPTED BY PLANS FHECK BYE APPROVED FOR ISSUANCE PERMIT VALIDATION BY/G'%t _7 � CASH CK MO TOTAL