HomeMy WebLinkAboutBLD16516 Mobile Home #35 - BLD Permit / Conditions - 10/16/1997 IRISH, Theodore A. #16516
Sam Theler's Home & Gar en Tracts 2-19-85
Tract 20 32-23-1
14600 51st Ave NE
Marysville, Wash. 98270 476-3303 ext. 7487
Contractor
Morgan Moving Co.
Mobile Home 1981 14x70 2 bdrm.
$18,130.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:_¢_,
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED_--_�,2=_-,/_!2 J
PERMIT NO. _._� - 1 _`
OWNER NAME MAIL ADDRESS f CITY 6 STATE ZIP PHONE
��A
DIRECTIONS
TO JOB SITE GQGo,E�J ��LL le4l �&e
�^ ��// IF, SEE AT
SHEET)
LEGAL
DESCR. S/f/YI �� $ l7 A G/l��C.DE,II'J TiC'ltc7�S /ACj' 2D ,32 ',Z$ -�
CONTRACTOR NAME MAIL ADDRESS CITY h STATE LICENSE NO PHONE
A #A) /110V_rA G 6,�/llfltll[LE j;4w S �eOH f} y r
FUSE OF
LDING /Y10,8t�E /hE
Class of work: El NEW U ADDITION O ALTERATION 11 REPAIR G MOVE FI REMOVE
Describe work:
Valuation of work: $ / 1 O PLAN CHECK FEE PERMIT FEE
SPECIAL_ CONDITIONS:
BEDROOMS--'
EDROOMS._ __ I DECKS _-- CARPORT
BATHROOMS_ _ TOTAL SO. FT. GARAGE NOTICE
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF ST RIES BASEMENT : OR AIR CONDITIONING.
TOTAL SQJ FT. _ FIREPLACE DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED lS 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 ertify that I am a currently registered contractor in WORK IS COMMENCED.
t o State of Washington and I am aware of the F O F F I C E USE ONLY
dinance requirements regulating the work for which
e permit is issued and alf work done will be in
onformance therewith. PERMANENT SHORELINES
SEASONAL ! FLOODPLAIN .
Firm
E.D. NO. S.EP.A. ,
By Special Approvals IN OUT YES APPROVED NO
Lic. __ 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conform nce 1her wit MOTOR VEHICLE PERMIT
owner 17/rB t3r7 PLICATI ACCEPTED BYPLANS CHECK BY �APPROV�FOFI ISSUANCE
Date
'LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH