HomeMy WebLinkAboutBLD5618 Final Mobile Home - BLD Permit / Conditions - 8/5/1977 Leonhardt, Robert W. #5618
7-25-77
N 30 acres NE 1/4 SE 1/4 20-23-1
1 & 2/10 miles N Belfair on Old Belfair Hwy, last
driveway before Newkirk Rd. on right.
Mobile Home
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
r / DATE ISSUED 7AZS 7
y, PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS Ju<w� frk Ong' ' tip/ /� �/ n
TO JOB SITE • N 0 t" N t r yr Wa CY b•f T o r c
LEGAL except portbov%wes �. C�fJ.r1 y hAl_ 1 F7(CF > O- .200 -IF-'{ /pSEE ATTACHED SHEET)
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r / C ,
DESCR. !�G i T L F t S ' �'o G i i•, %^ East
CONTRACTOR ME MAIL ADDRES TY&STATE ICENSE NO. PHONE
A l o . 0. d a - ',Ps; CvA.
USE OF
BUILDING f
Class of work: 9 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE En REMOVE
Describe work:
k�) `I C': x v VY\ C S Vl L -e v
Valuation of work: $ ,/3 Q PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APP ED FOR I S ANCE Type of ,y Occupancy Division
B Const. i 7 Group
I e k b►-A a F—a en i
Size of Bldg.,Z¢X (S>• No. of Max.
(Total) Sq. Ft. 119.2 Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor In RESIDENCE X
the State of Washington and I am aware of the MOBILE HOME �(
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owner, A000 'OdlA AOr to. 1 — WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH