HomeMy WebLinkAboutBLD17774 Mobile Home #71 - BLD Permit / Conditions - 12/16/1981 Hurst, M. C. ��#1185811858
(No Phone) 12/16/81
12-20-4, NW, NW, Extr. , 1-20-4, SW, SW, SW, Ex Tracts
1-3, Tract 3 of 1-20-4.
Hiddan Haven Mobile Park, East 1700 Shelton Springs Road
#71, Shelton.
Mobile
obile Home
$17,094.00
Shorelines: . - - --
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:_
Framing
Fireplace:
Wood Stove:
PlumhinR:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
1
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED f/- "�7
PERMIT NO. j Q 0
NAME MAIL ADDRESS CITY 8 STATE ll ZIP PHONE
OWNER Cy u 70 Oh Sgl ZI
S1 R
TO DI JOB SITE � U l
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. _ _ U �X 3 C —�°`
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
o N�-
USE OF 1
BUILDING D �� P T7 e_. �/ 7
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
o Y)l e T a iv PP C'_ n
C
Valuation of work: �J q�/ PLAN CHECK FEE PERMIT FE#
$r
I ( /4f s
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS— TOTAL SQ. FT.Lq-? :L GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING,
TOTAL SO. FT. FIREPLACE 0 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 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 am aware of the F p R 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.
Ll
Special Approvals IN OUT YES APPROVED
By NO
Lic. No.
Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 is permit is issued and that all work done will ROAD ACCESS
be in onfor ce therewith. MOTOR VEHICLE PERMIT
y_ �G _ p/ LIGATION ACCEPTED BY PLANS CHECK BY APPROVEW-FOR IS NCE
Owner Date O47.
PL CHECK VALIDATION CK. M.O. CASH ft
RMIT VALIDATION CK. M.O. CASH