HomeMy WebLinkAboutBLD11951 Mobile Home #22 - BLD Permit / Conditions - 1/25/1982 Rourke, Stephen #11951
(None Listed) 1/25/82
'tract 20, Sam Theler's Tracts, 32-23-1
Golden Bell Mobile Home Park, Space #22, St. Rt. 1,
Box 24, Belfair.
Mobile Home Contractor:
$23,088.00
Shorelines:
'let har1, -----
Snecial .�onititon5;
FUotino.' -- --- --------•-----
Sethack
FoundatI;n-ilalls:
FraminQ: --- --. . --__- .
"ooti Stove;
umhinQ:
Poof-
nical ._-----------_-y-_----;
Interior:_. .... ___---• --. ---- - --_.
F i n a 1:
Remarks:
BUILDING PERMIT APKICA T►ON 2-
MASON COUNTY
P.O. Box 186 Shelton, Washio+gtpn 98584
426-5593
DATE ISSUED
PERMIT NO. �J
qDESCR..
NAME MAIL ADDRESS CITY&STATE
ZIP PHONE
rEPN5A) to R i< - 1_ i3c� -1z_ Lc!�)
E S C=R Vlryt SCA-t
U , N N�rl I .ti 'A( _i f= >r31--C_1=!}I
(C SEE ATTACHED SHEE1�
OL p r
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING W 5L
Class of work: W-NEW ❑ ADDITION ❑ ALTERATION El REPAIR O MOVE ❑ REMOVE
Describe work:
_ L dam{- F Lirl s
Valuation of work: $ PLAN CHECK FEE
PERMIT E �s
SPECIAL CONDITIONS: c r •t ' c
L. I `/ Cry"!� _ iC GCLDc' "` rcc.
7`f/
BEDROOMS �- I DECKS—-. .. _ CARPORT C i NOTICE
BATHROOMS . TOTAL SO. FT GARAGE : :
NO. OF STORIES_ BASEMENT Ci ATTACHED I. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE F 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.
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 r
/Yf c,r3iSEASONAL [ FLOODPLAIN
`�•r`S S LLr} t !` E.D. NO. S.E.P.A. CI
Special Approvals IN OUT YES APPROVED NO
No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. -2.2 _
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
,ontract or registration law RCW 18.27, and am aware
f the Mason County ordinance requirements for BUILDING DEPT.
iich this permit is issued and that all work done will ROAD ACCESS
in coInform-aance therewith. MOTOR VEHICLE PERMIT
.� 3S L ri (CATION ACG PTEO BY PLANS CHECK BY
_ Date P ROVED FOR-I SUANCE
Y
'051
2 !r E
•IECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. ) M.O. CASH