HomeMy WebLinkAboutBLD5872 Mobile Home - BLD Permit / Conditions - 2/20/1980 Joint (Agnes Atthaus)
and James Legget, #5872
2-20-80
Lots 5 & 6 of Little Parma :t -
Hwy 106, approx 3 miles East of Alderbrook -
Take Cain Cottages road - white & blue trim house
with Winnebago parked in front.
MOBILE HOME
o0
BUILDING. PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
V�� t S 426-5593 6� D
DATE ISSUED t��'Q
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PERMIT NO.
MAIL A DRESS CITY&STATE ZIP PHONE
OWNE c tar * D Q' S� 3
DIRECTIONS
TO JOB SITE qqs,,s�H�E
LEGAL / �[ �j �' L j� bC1 SE ASA HEc.:.gE;roi-��es I'ID
DESCR. As CO-4 x;J'1G rltlriS /f�-�f fl��l/d6 -Q�. �iw� k.o r roo
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NAME MAIL ADDRESS CITY 8 S LICENSE No. W"A4, 0 PRONE
CONTRACTOR 1A ron�
USE OF
BUILDING Re SI den oC.._._
Class of work: )(NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ 000 PLAN CHECK FEE P 2MT FIE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT I I NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE I J
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I ; OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I 1 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 I 1 SHORELINES C
SEASONAL L FLOODPLAIN Ll
Firm E.D. NO. S.E.P.A. I ;
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 6 -
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 requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in confor ante therewith. MO VEHICLE PERMIT
A41fo A A 107EPTED BY PLANS CHECK BY APPR ED F ISSU E
Owne Date_ Blie
PLAN CHECK VALIDATION VK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH