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HomeMy WebLinkAboutBLD2025 Final Mobile Home - BLD Permit / Conditions - 6/2/1979 r Peterson, John #2025 6-1-79 NE 1/4 21-23-1 Weyerhauser Sort Yard Mobile Home �1 ©�� �G �al�� G -- � BUILDING PERMIT APPLICATION MASON COUNTY /ZS al qZZ�:�(o C� P.O. Box 186 Shelton, Washington 98584 426-5593 Q DATE ISSUED 7 7 PERMIT NO. 0.2�5 OWNER NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE S Qcbb DIRECTIONS TO JOB SITE v)orJrk O 1fn i r ,T- LEGAL (❑ SEE ATTACHED SHEET) DESCR. �/ NAME MAIL ADDRESS CITY✓i STATE LICENSE NO. PHONE CONTRACTOR M , , L a USE OF I,\,� BUILDING rl Q me, Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 2!,MOVE ❑ REMOVE Describe work: 1 , Valuation of work: $ /"z d" PLAN CHECK FEE PERMIT FEEC7O SPECIAL CONDITIONS: ' Of BEDROOMS DECKS CARPO ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES_i._ BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT.q= FIREPLACE>L DETACHED ❑ 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 rJ FLOODPLAIN [I Firm E.D. NO. S.E.P.A. Ll By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. g 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMliaw ICATION ACCEPTED BY PLANS CHECK BY ROVED FOR ISSUANCE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 _ �