HomeMy WebLinkAboutBLD7008 Mobile Home #105 - BLD Permit / Conditions - 7/30/1980 Waldburger, James A. #7008
7-30-80
Evergreen Trailer Park - Turn right - Sp. 7-E
1-20-4 So. 543.65 ' of E 1/2 - SW SW & 12-20-4 - Tr. 12-A
of NW NW
Mobile Home
$26,936.00
ELi ap
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B UIL DING PERMIT A PPL MCA f10N
' MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER �NAME IL ADDRESS CITY R STATE ZIP PHONE
DIRECTIONS
TO JOB SITE Ric, Q
LEGAL L, �/ ! �/(❑ SEE ATTACHED SHEET) /J� /�
DESCR. �- �� - 7 /3,6 , T �� �SLL,�� r —O�CJ'/ ! �� c�7 /" W�v
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $�� ^�� PLAN CHECK FEE PERMIT FEE
y
SPECIAL CON IONS
(o
O
%�- Id1GCC e� Ve e e o
BEDROOMS--4(-�M I DECKS PORT ❑ NOTICE
BATHROOMS ITOTAL SQ. FT. GARAGE Ll
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I DETACHED 1-1
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 ❑ SHORELINES FI
SEASONAL ❑ FLOODPLAIN f 1
Firm E.D. N0. S.E.P.A. II
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 OA ACCESS
be in conformance therewith. POT OR VEHICLE P IT
an Date.�G-- �lj APP CATION ACCEPT BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner'�'A. U tA--&
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI N CK. M.O. CASH