HomeMy WebLinkAboutBLD12650 Mobile Home - BLD Permit / Conditions - 8/5/1982 Roberts, Paul #12650
693-5683, Vancouver 8/5/82
35-22-3, NE 1/4, SW 1/4, SE 1/4, Lot #26, Timbertides
South of Hwy 106 in Timber Tides, about 3 miles from
Union.
Mobile Home Contractor:
14'x 70' , 1975 None Listed
$11,550.00
Shorelines: 1
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
PERMIT
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�. BUILDING PERMIT APPLICATION
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MASON COUNTY , Va35-75- W ZLQ o
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED.__
PERMIT NO.
OWNER NAME MAIL DDRESS TY 8 STATE ZIP HONE
�10
DIRECTIONS t r
TO JOB SITE
❑ SEE ATTACHED SHEET) q
DESCR. j S �o� —, — r/'-' / v v, � d'-6
NAME MAIL ADDRESS CITY 8 STATE LICENSE Ab. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: r
9g_'5`
Valuation of work: $J� PLAN CHECK FEE PERMIT FEE 4(1 �S
11 ,5 Sa. v
SPECIAL CONDITIONS:
BEDROOMS DECKS —___ CARPORT C 1 NOTICE
BATHROOMS_ TOTAL SQ. FT.__ GARAGE L
ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
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 ANY TIME AFTER
I certify that I am a currently registered Contractor in WORK IS COMMENCED.
r the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES
SEASONAL FLOODPLAIN A
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT EALTHDEP
WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT. ' tS S&I ,
which this permit is issued and that all work done will ROAD ACCE
be in conformance therewith. MOTOR VEHICLE PERMIT
LIGATION ACGEPyED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner DattAS
Aw-1P N CHECK VALIDATION CK. M.O. P_MIT VALIDATION K. M.O. CASH
40 ' '
. 7 Ix6,6
MF X
I \
APPROVED
IMASON BUILDING INSPECTOR
CHANGq SUBJECT TO APPROVAL
Date.. `5J g2
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z ( Acceptance 6Y A►shitectura-! Crw"niiLtec