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HomeMy WebLinkAboutBLD7690 Tipout Addition to Mobile Home - BLD Permit / Conditions - 10/20/1980 Christianson, Mildred #7690 10-20-8( Hidden Haven Mobile Home Park Tip out addition to Mobile Home Contractor Ken Flahaut $650.00 2 5f au__, BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED / �! She To ►\ OWNER AME MAIL ADDRE S CITY&STATE ZIP PHONE DIRECTIONS �1 1 n 1 \� YAP 2 9Q TO JOB SIT l ��1 V Il�db e Qrn w T r k S�2 ` Uv1 . LEGAL (A.) EE ATTACHED SH mFn 61 ISOi DESCR. ` U_ SW S w NAME MAIL ADDRESS CITY&STATE LICENS NO. �.SS PHO E CONTRACTOR P (A11 3��1 Q ► , S(t) 0 tvmQ I' VC- R& AS- .wS 3ti6 3 USE OF I BUILDING ©ram !`��y\ 5 Q G ,T__ Class of work: ❑ NEW DIT1ON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: X o _r,II POCIT a dd c'r.l oyl o f oao J Valuation of work: $ m) PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: I BEDROOMS DECKS _ CARPORT ❑ NOTICE BATHROOMS TOTAL SO, FT. GARAGE O ATTACHED L) 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 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 per it is issued and all work done will be in Conf mance therewith. PERMANENT ; I SHORELINES [; SEASONAL : FLOODPLAIN I I Firm E.D. NO. S.E.P.A. 11 By Special Approvals IN OUT YES APPROVED NO Lic. No.TT" YIS-w06- ,TS Date /0.210-1C) ZONING PLANNING DEPT. 1 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. MOT R VEHICLE PER IT W All APP ATION ACC Y PLANS CHECK BY APPROVED FOR ISSUANCE Owner __ Date U v . PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH df ... AS PER YOUR RDQjUEST MASON COUNTY BUILDING DEPA MENT 4'x10' i" ply.aood on floor Floor 2"x6" 12" centers Wall 2"x4" 16" centers Ceiling 2"x2" 2!." centers Fome core in walls A" fiberglass insulation side wall Roof 3/8" ply,,,00d with 30 lb. roofing paL-er with metal root= A" fiberglass insulation in roof No electicity in addition (concrete blocks under addition) The roof will not be exposed to weather. (addition goes under awiing) Decorator paneling on interior walls lot x