HomeMy WebLinkAboutBLD7655 Mobile Home - BLD Application - 3/20/2008 r � • l �— ��L9 — -S's 93
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 ,/ Y
DATE ISSUED / ?7
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
Ernest G. Heminger, 2030 So. 216th, Seattle QR1RA
DIRECTIONS
TO JOB SITE
LEGAL ("I SEE ATTACHED SHEET)
DESCR. Union Lots 5 thru 10 Blk 9 Gras Harbor & Union City R. R. Addition
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
John's Mobile Homes Federal Way
USE OF
BUILDING Mobile Home
Class of work: XXNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Mobile Home 14' x 64' 1978 Hillcrest
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
12,500.00 $20.00
SPECIAL CONDITIONS:
1-1-D ?X �-3
APPLICATION ACCEPTED BY PLANS CHECK BY APPR VAED FOR IS$GANCE Type of Occupancy Division
BY,, ,.L< �-(x Const. Group
i �N4
Size of Bldg. No. of Max.
(Total) Sq. Ft, Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT. 7817
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be In c orman a th ewlth., THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
l d -'3- 77 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Ow r Date . / WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH