HomeMy WebLinkAboutBLD186 Mobile Home #510 - BLD Permit / Conditions - 8/17/1979 old :�spPrCQ . 3l-il�nEIA) S;P�� a�O
Luhrsen, G. R. #186
8-17-79
Space 31A 1-20-4 S. 543 .65 ' Ek SW SW
Everg Mobile Home Court
Mobile Home Contractor
Robin Hood Mobile Home
Sales
$14, 550.00
J
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED
PERMIT NO.
OWNER N ME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE U Z�( / Ip�j, tL �oY"'. 01-1
LEGAL t— (❑SEE ATTACHED SHEET)
�
DESCR. — O- .00' v q. 4S / � / W V W
CONTRACT R NAME MAIL ADDRESS CITY&STATE i LICENSE NO. PHONE
A100 O W SDI(,1Aon L'21 -wR '?✓
USE OF
BUILDING
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ ,I+ PLAN CHECK FEE PERMIT FEE
55 v /
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS ' ''� TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElOR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
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
F F I^(mo^t USE ONLY
ordinance requirements regulating the work for which �
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
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
it i
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT 6Lf
APPLICATION ACCEPTED BY PLANS CHECK BY A ROVED FOR ISSUANCE
O�er Date. 8 '1'L''�q
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 4 K.J M.O. CASH
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