HomeMy WebLinkAboutBLD15602 Mobile Home #16 - BLD Permit / Conditions - 5/30/1984 NELSON, Alice G. #15602
5-30-84
SW-1/4, SW-1/4, SW-1/4 1-20-4
Hidden Haven Mobile Home Park
Route 5
Minerva Mobile Village
Shelton, Wash 98584 877-9573 Contractor
C. Bell
Mobile Home 1968 12x50 2 bdrm.
$3,000.00
Shorelines•
Setback:
Special Conditions:
III �
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove•
Plumbing:
Mechanical :
Roof :
Exterior:
Interior
Final :.
Stop .Work:
Mobile Home:
Smoke Detector:
Remarks:
III
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME �- MAIL ADDRESS CITY&STATE ZIP PHONE
s - l4e,IW E T/i E . P27- 9.r73
DIRECTIONS
TO JOB SITE
LEGAL / c (❑ SEE ATTACHED SHEET)
DESCR. LC,J /—
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR le
/3E/
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
67
Valuation of work: $ PLAN CHECK FEE PERMIT FEE _
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT Ll NOTICE
BATHROOMS TOTAL SO. FT. GARAGE
ATTACHED L', SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES �r�/� BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT4 x-�' 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
1,6ertify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the F O OFFICE USE ONLY
- the requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT i SHORELINES
SEASONAL I I FLOODPLAIN Ll
Firm E.D. NO. S.E.P.A. [I
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
sy�`L E
CATIO ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner �.LLG�� (/ Date.-�� �"�S/
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. CASH