HomeMy WebLinkAboutBLD5955 Roof Over Mobile Home #4 - BLD Permit / Conditions - 3/6/1980 _ Harold Brown #5955
3-6-80
Hidden Haven Mobile Home Park Lot 4
Roof over Mobile Home
$2,200.00
L
—� _'"W
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED /-
PERMIT NO. cgnso? s
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SIT .1 Al 111y6 D�/� " 4
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR ` e3v fL LJ
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION YREPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PE 1 EE
�� . , v0
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT LI NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE(]
ATTACHED I� 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 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 a SHORELINES I i
SEASONAL n FLOODPLAIN LI
Firm ) dL Z�- CP.'1�"'!� .
� E.D. NO. S.E.P.A. I'
By Special Approvals IN OUT YES APPROVED NO
Lic. No. C ;Z 3 It /U w Date 3`7— fo 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 S O
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
— APPLICATION ACCEPTED BY P AEC APPRVE ?RNCE
Owner Date . BY
f
PLAN CHECK VALIDATION K. M.O. CASH PERMIT VALIDATION CK. M.O. CASH