HomeMy WebLinkAboutBLD11800 Mobile Home - BLD Permit / Conditions - 12/1/1981r -
Visser, Kieth A. #11800
(898-4241) 12/1/81
Short Plat Lot 2 of Tract 12, Union Hgts. Plat SW 1/4
32-22-3
From old water tower in _Union proceed uphill to T,
turn left & follow around, after passing first & only Y
road to left, continue straight to end of road, site
on uphill side, 150' in.
Mobile Home Contractor:
$14,504.00 3 --) 2 3:2 --75
J��
Shorelines: . " . . . - -
Setback:
Special Conditions:
Foot i,ng:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
r
- BUILDING PERMIT APPLICATION
s
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED PERMIT N0. hL
OWNER --NA�^^��E Mf�pg►�ADDRESS `CITY 8 STATE ZIP PHONE
DIRECTIONS �'� p,JAT�2 '*o cuF(Z kky*, cyv� ��fCpe il� l "Ta T• t t—M tFtl AKJ D Fo e
TO JOB SITE 1'ti?-u"v`"� p�F'�6iJZ R5S`:d�� r5'r� D A(ly �
LEGAL (� ([I SEE ATTACHED SHEET)
DESCR. a2 C (1C/i/' 7/ct !"�1LI�
CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LIttNSE NO. PHONE
USE OF
BUILDING 4_0OnF Fk
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE El REMOVE
Describe work: P
764 g
Valuation of work: $.yt O PLAN CHECK FEE PERMIT PE
SPECIAL CONDITIONS:
BEDROOMS i
BEDROOMS I DECKS __ CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE LI
ATTACHED Li SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L7 OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED L;
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 OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES L]
SEASONAL ❑ FLOODPLAIN Li
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. —j�"�f
of the Mason County ordinance requirements for
which this permit . issued and that all work done will ROAD ACCESS
be in conformanc therewith. MOTOR VEHICLE PERMIT
Owne Date .
Q / AP ICATION AC EP ED SY PLANS CHECK BY ABOVED FOR ISSUANCE
PV CHECK VALIDATION CK. M.O. CASH P RMIT VALIDATION Cv.
M.O. CASH