HomeMy WebLinkAboutBLD11745 Mobile Home Space 36 - BLD Permit / Conditions - 11/18/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 DATE ISSUED r/I
PERMIT NO.
OWNERAM MAI AD RESS TY 8 STATE ` PHONE
14!
lk�
DIRECTIONS ry J JJ
TO JOB SITE
LEGAL r ❑ SEE ATTACHED SHEET)
DESCR. je
�� O
N LICENSE NO. PHONE
CONTRACTORCl�USE OF
BUILDING
Class of work: 711
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
a3 .o o a
SPECIAL CONDITIONS'
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE []
ATTACHED f SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT FIREPLACE [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 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 ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. IJ
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 i conforma ce therewith. MOTOR VEHICLE PERMIT
?ICATION�pjED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . V
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. ,M.O. CASH
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEDI-3 Co^ �4
PERMIT NO.r-D?��
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE��
DIRECTIONS � �
TO JOB SITE ��Q � (o �vy� �--r)-IT7L v �l Q 7v
N URGB E R �S _v LEGAL /. 9 /'• /� .
,M 9�&el DESCR. /O/I /, -A �f; /-
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 6 L- _ g
USE OF
BUILDING p(
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK B �-p 0 D JhL=a -A,4-e c '4-
ki 0 v D
/976 /fix 70
BEDROOMS_ DECKS CARPORT NOTICE
,,��.� ATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. 1� GARAGE ZONING.
NO.OF STORIES BASEMENT--,&IID ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
b COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. O FIREPLACE w DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT _�_ SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST F LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPR VA�L FROM THE BUILDING DEPA THE T. 7 APPROVAL FROM THE BUILDING DEPARTMENT.
O NER ��' ATE �O� - X BY
DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENQ BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMI M
D.O.T. BUILDING
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE 0L
WOODSTOVE Q
PLUMBING
MECHANICAL
STATE BUILDING FEE 4/.
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APP OV F ISSUANCE PERMIT VALIDATION
TOTAL
� � � gy CASH CK MO
Hill, L. E. #11745
(898-3091) 11/18/81
of Union, East of Right of Way (Except)
ots 16-18
Robin Hood Mobile Home Park, Space #36.
Mobile Home Contractor:
Robin Hood Trailer Sa:
$23,976.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:_
Mobile Nome
Remarks:
i
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1
MASON COUNTY
427.9670 BUILDING DEPARTMENT
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
STOP WORK
On these Premises at ......................................................................................
.........................................................................................................................................................................................................................
Thisorder is issued because ................:............................................................................................................................... _._.._
......................................................................................................................................................................................._.......... ..._...._.....
A.M.
Posted ..........................................P.M. ....._..................................................... 19.................. By .......I............................ _..... ...._..
WARNING The failure to stop work, the resuming of work without permission from the
Building official, or the removal, mutilation, destruction or concealment of
this Notice is punishable by fine and imprisonment.