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HomeMy WebLinkAboutBLD0065 Mobile Home #22 - BLD Permit / Conditions - 7/26/1983 Goodmanson, Gary M. 275-3311 #0065 7/26/83 Golden Bell, 32-23-131 Thelers Home& Garden Tracts, 02( Golden Bell, Space #22 Mobile Home 1,344 Sq. Ft. Contractor: Chaco Homes $24,800.p0 Shorelines: Setback: Special Conditions: Footi,ig: Setback: Foundation Walls: Fr ami ng: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior Final: , Stop Work: Mobile Home Smoke Detector Remarks: BUILDING PERMIT APPLICATION22 MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426.5593 DATE ISSUED -1* PERMIT NO. 0 OWNER NAME MAIL ADDRESS CITY 8 qATE ZIP PHONE Lao V A n_ '09�� Le"�' DIRECTIONS TO JOB SITE LEGAL /f (0 SEE ATTACHED SHEET) 1 DESCR. �L4— CONTRACTOR NAME AIL ADDRESS CITY 8 STATE LICENSE NO. PHONE USE OF BUILDING Q .i rJ6 66) '6;:c'"D S Class of work: LAEW ❑ ADDITION ❑ ALTERATION U REPAIR ❑ MOVE C- REMOVE Describe work: , Valuation of work: $ a U PLAN CHECK FEE PERMIT FEE y�. S'o C-) n /A S' SPECIAL CONDITIONS: BEDROOMS DECKS _ _ CARPORT . NOTICE BATHROOMS_ .__ TOTAL SO. FT. __. GARAGE '_ NO. OF STORIES___ BASEMENT ATTACHED . SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING 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 ANYTIME AFTER I certify that I am a currently registered Contractor in WORK IS COMMENCED. the State of Washington and I am aware of the FOE' OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES 11 "l SEASONAL i FLOODPLAIN irm E.D. NO. . .------------ S.E.P.A. Special Approvals IN OUT YES APPROVED NO No.— 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 BUILDING DEPT. of the Mason County ordinance requirements for ,which Is permit is iss d and that all work done will ROAD ACCESS e 1 - formance t jerewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHUCK BY APPROVED FOR ISSUANCE Date 7 �� y / BY �K VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH