HomeMy WebLinkAboutBLD16659 Final Mobile Home - BLD Permit / Conditions - 4/16/1985 PEDEFERRI, Joseph H. #16659
4-9-85
P. 0. Box 490 Belfair 275-3854
S 232' , N-1/2, SE-1/4, NE-1/4 29-23-1
NE 180 Belfair
Past North Shore on East side. 4th house on Old Belfair
Hwy.
Contractor
Self
Mobile Home 1984 14x56 2 bdrm.
$14,504.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
j Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION '
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ,l �v/--
DATEISSUED 'Y
PERMIT NO. �
OWNER N ME MP ADDRESS f /" CITY&STATE ZIP PHONE
DIRECTIONS �� l L4S
TO JOB SITE /( / f -01
n �EfEO�/���D y�c
DESCR. 25 aS� / V 4 G.LEGALTS;Z3 / f�vefSsEe �e
NAME MAIL ADDRESS CITY&STATE I LICENSE NO. PHONE
CONTRACTOR J" `�, S
USE OF
BUILDING �,y�„�
Class of work: ❑ NEW ❑ ADDITI ❑ ALTERATION ❑ REPAIR ❑ MOVE\ ❑ REMOVE
Describe work: ---
/V
Valuation of work: $ 0 _/ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS--— I DECKS CARPORT L NOTICE
BATHROOMS_— (TOTAL SQ. FT. GARAGE []
ATTACHED �� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES-1 BASEM T Li OR AIR CONDITIONING.
OTAL SO. FT. g FIREP ACE ;: DETACHED L.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
5 6 CON ACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
1 4 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
Z 4 WORK IS COMMENCED.
5 v 4 I certify that I m a currently registered contractor in
2 the State o Washington and I am aware of the
ordinance r quirements regulating the work for which FOR FICE USE ONLY
the perm; is issued and all work done will be in
conform ce therewith. PERMANENT SHORELINES
SEASONAL [ , FLOODPLAIN l
Firm
E.D. NO. S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. o. Date ZONING
PLANNING DEPT.
HEALTH DEPT. e,-A r
OWNERS AFFIDAVIT
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued 9nd that all work done will ROAD ACCESS
be �inonfor ce t ere h. MOTOR VEHICLE PERMIT
•�
APP CATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. O B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS