HomeMy WebLinkAboutBLD24978 Mobile Home # 401 - BLD Application - 1/2/1990 BUILDING PERMIT APPLICATION
MASCjJ CQUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO� �1�
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER ;0;-201O NS r,
DIRECTIONS
TO JOB SITE MabdL,PARCEL LEGAL
c J
NUMBER 3 3 06t524,0 1 ESCR. /-c;v-
NAME MAIL ADDRESS CITY&STAT LICENSE NO. ZIP PHONE
CONTRACTOR eV --gs
USE OF
BUILDING g Pi l
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK Olyl / [�r
BEDROOMS � DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. 7W FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER FFIDAVIT CONTRACTORS AFFIDAVIT
I CERT THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O AINING APPROVAL FROM THE BU ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER -f �' TE Z� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPROVENQ BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP IC_ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE L Q
STATESURCHARGE ,
APPLICATION ACCEPTED BY I PLANS'C BY APPROVED FOR ISSUANCE PERMIT VALIDATION
(.l //l llt v l BYe CASH CK MO TOTAL. ���
MASON COUNTY ,,
DEPARTMENT of GENERAL SERVICES
Courthouse Annex 3 426 '-A'. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
building environmental health maintenance landfill Parks&recreation fair/convention center planning sewer&water
October 17, 1989
Pennock & Wise
E 80 Blevins Road N #201
Shelton, Washington 98584
Re: Building Permit for
Mobile Home
Dear Sir:
Some time ago you made application through this office to
obtain a building permit. Please be advised the permit is
ready to be issued and can be called for at this time.
If you are unable to call in person, a check in the amount
of $ 26.75 can be sent to us and we will return your
permit by mail .
This permit becomes null and void if not called for within
180 days of the date of application.
We hope to hear from you soon.
Sincerely,
Evelyn Fuller
Receptionist
�Gn Ate„` �' �"�rr.� �" .