HomeMy WebLinkAboutCOM18041 Mobile Home for Office Space - COM Application - 10/9/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 GG
DATE ISSUED
PERMIT NO. Z�l
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
EXCEPTIONAL FORESTERS, Inc. Box 86 Shelton WA 98584 426-0077
DIRECTIONS
TO JOB SITE Sanderson Field- follow recycling signs to jib location
LEGAL c / / (❑ SEE ATTACHED SHEET)
DESCR. S1 SZ SSG 2, — 72D�1 R4 W
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR 5745 L F
USE OF
BUILDING Office Space
Class of work: E NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Place a 12' x 56' mobile home on property
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
37`Y
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT67-2— 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 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
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
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 therewith. MOTOR VEHICLE PERMIT
Owner Except!On F� ters, In 10-9-85 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED OR ISSUANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
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