HomeMy WebLinkAboutBLD7 Final SFR - BLD Permit / Conditions - 8/31/1984r
#7 7-25-79
N.W.k SE'k Sec 29 Twp . 23 R 1WWM
Belfair
Contractor
Residence Evergreen Modular Homes
$34, 950.00
I a3,2 , ya - Cloaod
��P/SYA7
i
d/,3BUILDING PERMIT APPLICATION 'MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _
DATE ISSUED 7 ��`�'� 7
PERMIT NO. r
OWNER NAME MAIL ADDRESS CITY&STATE ,r ZIP PHONE
DIRECTIONS _
TO JOB SITE
LEGAL J (❑ SEE ATTACHED SHEET)
DESCR. 40 ��1�'��t' S; � Ld .SCE—��—�/'sZ.S ��`v/-1•
NAME MAIL ADDRESS CITY&STATE LICENSE NO. _ PHONE
CONTRACTOR `�� � �.�c.� C- ��
_ "--USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE i
�s sv
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ 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. PERMANENTZq SHORELINES ❑
Firm
SEASONAL ElFLOODPLAIN El
E.D. NO. S.E.P.A. Elgy �� �� r �' Special Approvals IN OUT YES APPROVED NO
Lic. No. Z 7' � 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
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
gPPLICATION ACCEPTED BY PLANS CHECK BY A PROVED FOR ISSUANCE
Owner Date.
Yy
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
L, following:
Purchaser'agrees to be soley r nsible for and hereby warrants the "
t e That he has•good and legal title to the subject property,,free and 'clear of all encumbrances.
b. That'.the boundary lines of the subject property'are;as represented by Purchaser to Contractor for the purpose of the project
contracted for.
o: That all requirements of the applicable zoning codes including set-back requirements are met by the location of the house on
the subject property as requested by Purchaser.
d.l' That 9Ultabie road access to the subject property is,and will be available to the Contractor during the construction period.
e., That the geological'and all other sub-sarfarice conditions of the subject property are,suitable for the construction and use of
the home contracted for,
f,, The establishment of appropriate structural site,elevations related to fixed reference.,
PLOT PLAN �/�
INDICATED BY FRONT D THE OUSE IS TO FADE DIRECTION ICATE DOOR ON DRAWING BELOW.
O O O
' (INDICATE POWER, WATER, AND SEWED LOCATIONS)
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