HomeMy WebLinkAboutBLD14378 Final Mobile Home - BLD Permit / Conditions - 9/14/1983 Ingulsrud, Olger N. or Jane #14378
876-8942, Port Orchard 7/14/83
Beard's Cove #3, Lot 82
Turn right on Sandhill Road, left on 1st paved road,
then l block & left on Anchor Way to Anchor Court
Mobile Home Contractor:
20'x4O' , 1967 Owner
$10,000.00 '
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing.-
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior :
Final:e 9 Iel
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:']-j-Y3
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M BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS N09/10L&r--1L Coto4jalT &STATE ZIP PHONE-SANE N OR. NE 1 t
D a LoN. FBkt, JR-1642#4
DIRECTIONS I FRe-, RC-Lfine )*aWAlttds 13M-CAir S'r,PgQK, roeN R19A't OAl SAnA:vf/tic[ Rcl.14i
TO JOB SITE Levy' am FIG ,-W AoAj J 8doC4e St N ANC AM
LEGAL I (❑ SEE ATTACHED SHE
DESCR. EA?dS CC7VIE- $Est ro+110 - )D't- A"ic hoe Gt-
CONTRACTOR ELFMr
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
�JJ !V 2
USE OF �,.,BUILDING MO jj L C A C 1 CC—o R g&jjTtrj,
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR AMOVE ❑ REMOVE
Describe work:
Le Rome 20 V 4 1AjClilD/0v vo%j -
Valuation of work: $ , PLAN CHECK FEE PERMIT F
,a
SPECIAL CONDITIONS:
BEDROOMS {DECKS a CARPORT i I NOTICE
BATHROOMS (TOTAL SO. FT.jW GARAGE [! `,�
� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_L BASEMENT I ATTACHED L IN/ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ! DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR A FIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOROFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES in-
SEASONAL f i FLOODPLAIN I
Firm E.D. NO. S.E.P.A. CI
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. - 2
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
w h this permit is issued and that all work done will ROAD ACCESS
b in conformance therewith. MOTOR VEHICLE PERMIT
Owner hate .%_/y3 LIGATION AC PTED BY PLANS CHECK BY APPROVE OR ISSUANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERNYT VALIDATION CK M.O. CASH
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