HomeMy WebLinkAboutBLD0221 Mobile Home - BLD Permit / Conditions - 9/25/1984 SARVER, Micheal #0221
9-25-84
21-23-1 S-1/2, N-1/2, NE-1/4, SW-1/4
P. 0. Box 1264
Belfair, Wash 98528 275-2944
Map Attached Contractor
Self
Mobile Home 14x60
$10,500.00 2 bdrm.
I Z zICr2QL73-ID
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
VOID gY EXP'RA t
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 S
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADD SS cf CITY&STATE ZIP PHONE
icy t-9L s�2 LQ D fjo' rU 4c �S'L 271`'Zl
DIRECTIONS
TO JOB SITE i9 TrL C p IvM
LEGAL +� / / r'/ (❑ SEE ATTACHED SHE"T)
DESCR. � _ d? — ,.,,L`J .{S A — L(�, t/�/ ( �S �l r ��y
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR ScL j=
USE OF
BUILDING f"s/pEtiCL
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REMOVE
Describe work:
74 mil- 7 '11 t
Valuation of work: PLAN CHECK FEE PERMIT FEE -93 —
5an. AIA . 3.
SPECIAL CONDITIONS:
BEDROOMS I DECKS 1 CARPORT [, NOTICE
BATHROOMS ITOTAL SO. FT. GARAGE [
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES JBASEMENT [ jOR AIR CONDITIONING.
TOTAL SO. FT. �D FIREPLACE [ DETACHED ❑
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 FOR A PERIOD OF 180 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
confo ance therewith. PERMANENT ! ] SHORELINES 1
SEASONAL i 1 FLOODPLAIN
F m E.D. NO.� S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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. ✓J
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 PERMIT
APPLICATION ACCEPTED BY PLANS /DECK BY� APPROV7FSSUANCE
Owner� Date . � ev
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH