HomeMy WebLinkAboutBLD14252 Final Mobile Home - BLD Permit / Conditions - 10/20/1983 Zandell, Earl or Dorothy #14252
275-3386 6/27/83
Tract 4 S 1 2 SE 1 4 NE 1 4 29-23-1
NE 223 Roy Boad Road, 4th place on left
Mobile Home Contractor:
1983, 1128 Sq. Ft. None
$20,868.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing.*
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: ®=�c
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED d v
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS I �r L Y/
TO JOB SITE G 2Z_3 /Vd ,ijQ,#/.,) / 0� G � ��T
LEGAL � y C / (❑ SEE ATTACHED SHEET)
DESCR. �{� s L 5t- /I+� 7fZ' 2 7Wf 2---3
NAME MAIL ADDRE S CITY&STATE LICENSE NO. PHONE
CONTRACTOR D416--
USE OF
BUILDING � SrOAFyt T fift--
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE [] REMOVE
Describe work:
lg83 / g
Valuation of work: $ de &FLAt�CHECK FEE PERMIT FEE ��S
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SPECIAL CONDITIONS:
BEDROOMS 7� I DECKS _ CARPORT CI NOTICE
BATHROOMS__ TOTAL SO. FT. GARAGE [] �v
ATTACHED I_l SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES � BASEMENT Ll �® OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE C DETACHED L
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
Conformance therewith. PERMANENT SHORELINES fl Q,
�f� SEASONAL f l FLOODPLAIN Ll
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.
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
4' conformance
his permit is issued and that all work done will ROAD ACCESS
therewith. MOTOR VEHICLE PERMIT
a:Z?= PLANS CHECK BY AP ROVED F R ISSUANCE,
Owner Date.
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
— P. O. BOX 746 1 10 Vb'ESi K STREET u 1—i �]
SHELTON, WASHINGTON 98584 REGULAR AIR WIRE G ONE
MAIL MAIL
PHONE (206) 426-4407
TO
1Ir. Janes Connolly DATE 11ay 10, 1977
- .
Re-ional Planning SUBJECT Site No. 1558
_ _ _
Shelton, Wa. 98584
Dear Jim:
We do not have any objections to the issuance of a building permit as. there
is an existing sewage system on the Russell Ryder property.
Sincerely,
J. V. Deshaye, 14.D. , D.P.H.
District alth Officer
00 n ' Pam=
Charles D. Leaf, R. 333.
T SIGNED
Environmental Health Specialist
a l L '� CL' rn� ,�,�ol n, 1,� Ar7i;T '1i C/(Y`0 U
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Ova- c�V�v un C�- J U Vv-� A (1t-V\_
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SENDER-Detach and file for follow-up
15 contractor installing septic tank?
(Sewage Contractor must be licensed by Thurston-Mason Health District)
THE UNDERSIGNED hereby applies for a permit to construct ( ), alter ( ) and/or modify ( )
a sewage system on above property in accordance with minimum requirements and standards
I
of the Thurston-Mason District Boar f Health.
APPLICANITIS SIGNATURE
NOT TO BE FILLED IN BY APPLICANT
Permit # 46?45 Fee , e Date Issued By����,2,��
Area_ Sanitarian Date Inspected
REMARKS:
Date Approved: Approved by
TRIH-S-5 9/69SEw. CONTR. Sanitarian
tZOM41IAL YAYtKJ. r'
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Ille"t146 CW6 3 >b*
21-71
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