HomeMy WebLinkAboutBLD9303 Final Mobile Home - BLD Permit / Conditions - 6/30/1982 Catron, Stanley F. #9303
1-20-81
No. Shore Rd. to Sand Hill Rd. , left on Larson Blvd. , 3
blocks to Ward Place
Beard's Cove, Block 4, Lot 72
Mobile Home (14 X 56)
(Variance for blocks)
$13,125.00
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",,�0 0 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �— a U
PERMIT NO.
-OWNER NA E MAIL ADDRESS CITY&STATE ZIP PHONE
DIREC ONS U ,Shol-C"
TO JOB SITE _
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe wor _
/ GCS
,T_
Valuatio work: $ Q„p0 PLAN CHECK FEE _ PERMIT FEE aS
10-5 5�.
SPECI CONDITIONS:
i
BEDROOMS DECKS C ORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR 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 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 u
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. 11
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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 ty ordinance requirements for BU DING DEPT.
which this per It i su a d that all work done will R A ACCESS
be in confo ewi ��� M T VEHICLE PERMIT
— a/
AP LI ATION E TED BY PLANS CHECK BY RO ED F SSUA C
Owner ' -Date. Y
PLAN CHECK VALIDATION CK. M.O. CASH —' PERMIT VALIDATI N CK M.O. CASH
PLOT PLAN
ADDRESS PERMIT NO. f `
0
= o
' n D
LEGAL
DESCRIPTION LOT --/7 BILK 7 ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF !�
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
�t
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' )\,
y.
t
I/We certify that the proposed construction wilXonform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
Kell-OLo.,
IAAAirm OF O NER(S) OF SI E 6 STRUCTURE(S) (PRINT) tIGNATUREOF O NER(S) OR THORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING