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HomeMy WebLinkAboutBLD16708 Final Mobile Home #15 - BLD Permit / Conditions - 5/1/1985 LOHR, Robert #16708 4-19-85 Sam Theler's Home & Garden Tracts Tr. 20 32-23-1 Bill's (Golden Bell) Mobile Home Park #15 SE 51 Dickinson Ct. Shelton 427-9093 Contractor Mobile Home 1985 14x53 2 bdrm. Charlie's $13,727.00 I Shorelines: Setback: Special.Conditions: Footing: Setback: Foundation Walls: Framing.- Fireplace: Wood Stove: Plumbing: Mechanical: Roof Fxterior: Interior: Final- 5 Stop Work: Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED �/ p PERMIT NO. OWNER NAMLAC MAIL ADORES CITY 6 ST•ATE ZIP PHONE DIRECTIONS LS a S 74,9 TO JOB E �J LEGA S DESC i//' '��/06$ 7 J J/yJ�ob�leA61Yie 74 , CONTRACTOR , NAME ' ((� j MAIL ADDRESS CITY d STATE LICENSE NO. PHONE USE OF 3 16 7 BUILDINGn Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE .r7�. SPECIAL CONDITIONS: j BEDROOMS i DECKS ,CARPORT G NOTICE BATHROOMS_ TOTAL SQ. FT. GARAGE NO. OF STORIES BASEMENT ❑ ATTACHED [- =SEPARATEMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING IONING. TOTAL SO. FT- FIREPLACE I � DETACHED U CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FORA PERIOD OF 180 DAYS AT ANYTIME AFTER I certify hat I am a currently registered contractor in WORK IS COMMENCED. the Sta of Washington and I am aware of the ordinan a requirements regulating the work for which FO FFICE USE ONLY the pe it is issued and all work done will be in confor ante therewith. PERMANENT SHORELINE i rm SEASONAL !] FLOODPLAIN L, E.D. NO. S.E.P.A. L'; y Special Approvals IN OUT YES APPROVED NO ic. 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 of the Mason County ordinance requirements for BUILDING DEPT, which this permit is issued and that all work done will ROAD ACCESS in conformance therewith. �J MOTO VEHICLE PERMIT <er -f �l.-- APPLICATI ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Date. k__ BY AN CH CK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 'RISTMASTOWN PRINTING