HomeMy WebLinkAboutBLD12104 Final Mobile Home - BLD Permit / Conditions - 3/30/1982 Forsythe, Franklin #12104
(876-3448) 3/8/82
Beards Cove, Division 3, Lot 26
Same
Mobile Home Contractor:
Hunt Mobile Homes
$22,792.00
Shorelines: oVA.
Petback: D K
Special ('onditions:
Footing:
Setback:
Foundation Walls:
Frari nq:
Fireplace:
Wood Stove:
Plumbina:
Mechanical:
roof:
Exterior: --
Inter_ior:
Final: 3 0 8?
Stop u76rk:
Mobile Pome
Remarks:
l
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
NL` 12-o ( 11,r-r PERMIT NO.
OWNER NAME / MAIL ADD SS CITY&STATE ZIP PHONE—
i�
DIRECTIONS JOBSII v
TO JOB SITEE
LEGAL /� / / (❑ SEE ATTACHED SHEET)
DESCR. /V ,4/LOl i v ,3 ��t�—.�6
NAME MAIL ADDRESS CITY&STATE LICENSE MO. PHONE
CONTRACTOR n� �, -
USE OF
BUILDING mQ_ — / /tie,,
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT Fy
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. 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 F O 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 [] FLOODPLAIN Ci
Firm
E.D. NO. S.E.P.A.
By % Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLAN DEPT.
HEALTH DEPT
OWNERS AFFIDAVIT 0 4�
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 and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
AP (CATION ACCEPTED BY PLANS CHECK BY APPRO FOR ISSUANCE
owner Date. U /Wy�', ^�
('�4dj � I
CHECK VALIDATION CK. M.O. CASH PYERMIT VALIDATION CK. M.O. CASH