HomeMy WebLinkAboutBLD13336 Mobile Home #27 - BLD Permit / Conditions - 12/3/1982 1
Ro:lgers; Leslie T #13336
426-2936 12/3/82
1-20-4, SW, SW, SW, EX.
Hidden Haven, Space 27
Mobile Home (Replacement Contractor:
1983, 14'x60' Robin Hood Mobile
$15,540.00
SAD 0/- 33-600 60 -:O'a 7
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Wal s:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof: _
Exterior:
Interior•
Stop 'Abr :
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /�,3_S�
DATE ISSUED
PERMIT NO. /33 3 �
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
/4stiE T' iPdd r 9 v /e/ i5/EL-04t 40,4 v/ -z93
DIRECTIONS -0/1 ZP/1//✓G /Znf)D i / S� 2i,S Ae T -- 5,41,19 eE 2-7
TO JOB SITEi /�1 pA/ /�/�G�.�/Ltlftc /D 7-D //ZPO27' ST�.e� TUie�
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. /D 1>Ei� /7'i9tlEnl 47 Z 7 5;41, 711� LC�/'4 . �O- 7-SLU
NAME MAIL ADDRESS CITY&STATE LUG, LICENSE NO. PHONE
CONTRACTOR
ITr 49/^/ /A-0 b "V41,01 ,6 Y4 LE.S
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR XMOVE ❑ REMOVE
Describe work:
n
14
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
I S 5�0 , 0 0 SBa s
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE Ll
ATTACHED ;' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES���� BASEMENT OR AIR CONDITIONING.
TOTAL SO. FT.V`�iZ FIREPLACE I 1 DETACHED G
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 Ilia—
SEASONAL [) FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. 11
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
contr ct or registration law RCW 18.27, and am aware BUILDING DEPT.
of a Mason County ordinance requirements for
w ch this permit is issued and that all work done will ROAD ACCESS
in conformance therewith. MOTOR VEHICLE PERMIT
p /a /3 PPLICAWNAE T D BY PLANS CHECK BY APPROVE ISSUANCE
Owne Date. / � ,, _�IS U
P CHECK VALIDATION CK. M.O. CASH P . MIT VALIDATION K. M.O. CASH