HomeMy WebLinkAboutBLD7954 Mobile Home - BLD Permit / Conditions - 12/22/1978 Wright, Victor L. #7954
12-22-78
W 1/2 NE 1/4 SW 1/4 W 1/2 SW 1/4 NW 1/4
1 1/2 mile West on Dayton Airport Road
Route 10, Box 586, Shelton
Mobile Home
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. sy
OWNER NApOE MAIL ADDRESS CITY&STATE ZIP PHONE
T L) D l�
DIRECTIONS
TO JOB SITE ke- '
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. EG7Jv 0404J 'V
NAME MAIL ADDRESV CITf 8 STATE LICENSE NO. PHONE
CONTRACTOR
I:-
USE OF
BUILDING f�vM G
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR )CMOVE ❑ REMOVE
Describe work:
41
Valuation of work: $ PLAN CHECK FEE PERMIT FEE q
oCO•
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L NOTICE
BATHROOMS TOTAL SO. FT. GARAGE Li
ATTACHED f] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED L
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 X SHORELINES Li
SEASONAL I] FLOODPLAIN i
Firm E.D. NO. S.E.P.A. LI
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 requir ents for
which this permit is issued and that all rk done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT 10
6 2L-*"—.
[CATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
ner Date
CK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
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