HomeMy WebLinkAboutBLD16742 Mobile Home #105 - BLD Permit / Conditions - 4/25/1985 BARNES , Dorothy _ #16742
4-25-85
Evergreen Mobile Es s S 543.65", /2, SW-1/4,SW-1/4
(E 60 Blevin Rd. y, AG 1-20-4
7328 Alonzo Aven AW ti 784-7610
Contractor
American Mobile
Homes
Mobile Home 1977 14x66 3 bdrm.
$11,550.00
Shorelines:
Setback:
Special ConditiGi,s:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
`c—
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:^#'
Stop Work:
Mobile Home:
Smoke Detector:
Remarks: 22,, &,m
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 --�
DATE ISSUED
a
PERMIT NO. �/'
OWNER N _ MAIL ADDRE / CITY&STATE ZIP PHONE
Pd S L 4i 74 z /
DIRECTIONS ��� �����"�$`�
TO JOB SITE s� w J hoc L o 7 9�s�r—
LEGAL L (❑ SEE ATTACHED SHEET)
DESCR. Irk) � �7 � d€< 93 � 77 Krv17_vr/ v 4) ��•-
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. qq PHONE
LrG �✓ /70��� /�E �Gv �� of JS�`f 75�;
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: fc'�
BEDROOMS DECKS CARPORT D NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. 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 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 F O F F I C E USE ONLY
ordinance requirements regulating the work for which
the ermit is issued and all work done will be in
con ormance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. N Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. ,�j �� f
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
of the ,Mason County ordinance requirements for BUILDING DEPT.
which is permit is issued and that all work done will ROAD ACCESS
be onforma a ther with. MOTOR VEHICLE PERMIT
Own Date.
S APP ICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECX VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING