HomeMy WebLinkAboutBLD8666 Mobile Home - BLD Permit / Conditions - 11/25/1975 Ison, Gary #8666
11-25-75
1-3/4 acres, lying E. of R.R. R/W of E. 7 acres of 52
of N2, NE4, SW4, 21-23-1
Mobile Home
-
• BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 98584
DATE ISSUED
PERMIT NO.
-T----OWNER MAIL ADDRESS ZIP PHONE
_
DIRECTIONS
TO JOB SITE
- LEGAL 13 aCrey,/nort cr lees /y/n N1i�Ct'd�° r�41 �ou� v is3�
y OS ATTACH D ET) SCOT/O N
DESCR. F,glf- df 'the- Nor tlf ha f' Fh e tJo Rth FAsr 6,1,1ua rte r �F_Ilk ua r ►^ a—)
----� -�--y �131 MA�L A RE85 - PHONE
CONTRACTOR ,
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING WAM E
Class of work: ❑NEW ❑ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE
Describe work:
Valuation of work:$ U PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Type of Occupancy
� + Const. M Group -L Division
Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories / Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Rsqui
I Certify that I am a currently registered contractor In the State ZONING
of Washington and the County of Mason and I am aware of the HEALTH DEPT.
ordinance requirements regulating the work for which the permit 11501110c WORKS
Is Issued and all work done wi:l be in conformance therewith. 14OA5 DEpr,
Firm
By -
Lic. No. Date
OWNERS AFFIDAVIT —
I certify that I am exempt from the requirements of the contract.
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit is issued
and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
Owne - ate 1^ — 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHELTON PRINTING CO. !�j