HomeMy WebLinkAboutBLD9731 Mobile Home - BLD Permit / Conditions - 7/3/1980 Cudney, Michael i #9731
7-3-80
Go approx. 2 mi. on old Belfair Hwy. from Belfair
1 acre plot - 17-23-1 Tr. 9 NE SE
Mobile Home
$11,000.00
BUILDING PERMIT APPLICATION
MASON COUNTY ,
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO 7111V --
OWNER NAME MAIL ADDRESS CITY& TA ZIP PHONE
DIRECTIONS pp _
TO JOB SITE iMll� C�iJ �l� r N 1 roM �el
LEGAL d /-
CONTRACTOR (❑ SEE ATTACHED SHEET)
DESCR. / n C re ?Loy / '��"/ `IJC� 7 6G
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR RIMOVE ❑ REMOVE
Describe work:
O L
Valuation of work: $ i� PLAN CHECK FEE PERMIT FEE v� t_l
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED [i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHEDii
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 SHORELINES ❑
SEASONAL D FLOODPLAIN
Firm
E.D. NO. S.E.P.A. f�
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT �a�
PUBLIC WORKS
/be
certify that I am exempt from the requirements of the FIRE MARSHAL
ontract or registration law RCW 18.27, and am aware BUILDING DEPT.
f the Mason County ordinance requirements for
hich this permit is issued and that all work done will ROAD ACCESS
in conformance therewith. MOTOR VEHICLE PERMIT
xft'WIF
ICATION ACCEPTED BY PLANS CHECK BY AP ROVED FOR ISSUANCE
QwnerDate
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER
E MAIL ADDRESS , CITY&STATE ZIP PH NE
DIRECTIONS
TO JOB SITE
LEGAL T (❑ SEE ATTACHED SHEET)
DESCR. �- ,�,j_ 7A.4 ' </ /1!C r5/ S A
NAM MAIL ADDITESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR L ...
USE OF
BUILDING — ` A/G
Class of work: NEW ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
R ilaVa .rrlJ 14 O r/
Valuation of work: $ r PLAN CHECK FEE PERMIT FE�
36
SPECIAL CONDITION cc LD 4e, If/
XA —
F_ IG Z D
BEDROOMS DECKS CARPORT G NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED __ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [_: IDETACHED
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 FORA 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 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_i SHORELINES h�
SEASONAL I I FLOODPLAIN
Firm
E.D. NO. S.E.P.A. ['..
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
Icertify at I am exempt from the requirements of the FIRE MARSHAL
contr or registration law RCW 18.27, and am aware O
Ze
Mason County ordinance requirements for BUILDING DEPT.
his permit is issued and that all work done will ROAD ACCESS
onformance therewith. MOTOR VEHICLE PERMIT
�' �j APPLICATIO ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
O !171' Date 8.J / jam/� BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
of
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