HomeMy WebLinkAboutBLD15892 Mobile Home - BLD Permit / Conditions - 7/26/1984 TYPE MOBILE
Permit No. 15892 No. Floors I Sq Ftg 924
Owner HANSEN LeRoy Janet Re
Jel 886-1914 Date 7-26-84
Aciaress 32016 - 2 5th Ave SE, Kent, WA Zip 98042
contractor Don Jennings
Address Zip
Legal Description 35-22-3 Por NE 1/4, SE 1/4
Direction to project site attached
Plu bang Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
it
Shorelines: Al A Plumbing: `
Setback: Mechanic
Special Interior:
Conditions: FINAL:L /!L 3 3 e 7
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 26^
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
o 2-
6-
D I R E CT I O N S Covwv c, � (lix cow+ vu.�/ eS�>v►`� Fa --&KG
TO JOB SITE
LEGAL �G o2y �'� /Q���! < <UQG!/ ((lcLc (❑ ATTACHEDS`HEET)
DESCR. SM�• pf« �cti r�cc» s� �.#�� AV6Q.icwyta fVo, jiv 5 Qua.xf� �6�j, °��C3� +w`Y,(z-z- NaZ��c
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR .�
1 n ram' S. auiiS N7- )3
USE OF ���( d—evn
c
BUfLDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
r �
I Q 3 ( (o vv\, 1?2 ib Q I Z' s
Valuation of work: $ O PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS _ CARPORT L NOTICE
BATHROOMS __ ITOTAL SO. FT. GARAGE
ATTACHED L! SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT i: OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE L: 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 ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State .of Washington and I am aware of the FOR OFFICE USE ONLY
ordinanc requirements regulating the work for which
the pe it is issued and all work done will be in
confo ance therewith. PERMANENT SHORELINES
SEASONAL FLOODPLAIN i
Firm
E.D. NO. S.E.P.A. '.
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in confor nce ther wi MOTOR VEHICLE PERMIT
A ICY" N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner to . I I BY
r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH