HomeMy WebLinkAboutBLD4352 Mobile Home - BLD Permit / Conditions - 3/21/1977 Keene, S. E. #4352
3-21-77
N 1/2 E 1/2 W 1/2 SW 1/4 9-23-1
Mobile Home
.A BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED ,3/0� //7 7
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STAT ZIP PHONE
6 10 / ,v. 98S-2.F _ Y
DIRECTIO S Jjo
TO JOB SITE B
LEGAL (❑ SEE ACHED SHEET)
D41.
ESCR. Gf/
NA1 MAIL ADD ESS CITY 8 STAT LICENSE NO. PHONE
CONTRACTOR �Ay�Eiw A�OgiGE kOmES - (�' 02ST-
1�.�ASN��Grolu.
USE OF BUILDING PEKSONAL 12ES;DCAJCG
Class of work: ANEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
10EW M6 LE 1-10127E
Describe work:
HAUiA)a 1 6W M 19;4z Nr>7E L CC ii NO IN Pk-o PC,k
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Valuation of work: $ / G �v /1 �+.v PLAN CHECK FEE PERMIT FEE
—
SPECIAL CONDITIONS: 74
L a
Ce
APPLICATION ACCEPTE6 BI PLANS CHECK BY ROVED FOR ISSUANCE Type of Occupancy ` Division
,I Const. Group cL
Size of Bldg. No. of Max.
(Total) Sq. Ft •'7X�4 Stories Occ. Load 16
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be ' conform ce 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
Own • Date WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH
STEEL
B U I L D I N G S HOMEOWNER Jim Van Meter
HC.
ADDRESS: P.O. 1161 Belf air, Wa. 98528
1724 Cole Street -----
RQ Box 859
Enumclaw,WR 98022 PARCEL No. 323996
Seattle/Enumclaw LEGAL:N1/2 of the E1/2 of the W1/2
(200 82S-7766of the SW1/4 of the SW1/4 of Sec. 9,
CCO1 ALPHASB192RA 10-26-87 TWN23N, RNG1W, W.M. Excepting therefrom
road rights of way'
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I PROPOSED U►41-1
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150= \
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�.IUME 24*.48
923.DS
1. Draw in all existing buildings.
2. Draw in new building and how many feet from existing
buildings and property lines.
3. Name all roads next to property.
4. Draw in drain field and whether you are on a septic
tank or sewage system.