HomeMy WebLinkAboutBLD0260 Mobile Home - BLD Permit / Conditions - 2/19/1985 MEDEEN, Carl A. #0260
2-19-85
Beard's Cove Div. 5, Lot 49
5226 Taylor' NE
Bainbridge Island, 98110 842-2174
Go West on No-th Shore Rd. to Cemetery Rd. , take 2nd
turn left to Schooner. NE 221 Schooner Loope
Contractor
None listed
Mobile Home
$22,755.00
I
r
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED z S
PERMIT NO. �i�
OWNER 10 E MAIL ADDRESS CITY&STATE ZIP PHONE NAM
i , ✓� r ' / O
DIRECTIONS
TO JOB SITE
LEGAL N/��-���v ""f'� �_ (� SEE ATTACHED SHEET) }�
DESCR. rye
NAME MAIL AD RESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF y 4 —
BUILDING
Class of work: ❑ NEW ❑ AD TION El REPAIR ❑ MOVE 1-1 REMOVE
Describe work:
Valuation of work: $_ 1!:o e) PLAN CHECK FEE PERMIT FEE�-
5
75 7
SPECIAL CONDITIONS:
EDROOMS DECKS _ CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED f_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. l3 FIREPLACE ❑ DETACHED Ll
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
NTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify th I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinanc requirements regulating the work for which
the per it is issued and all work done will be in
confor ance therewith. PERMANENT i I SHORELINES I
SEASONAL L FLOODPLAIN
Firm E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT YES APPROVED NO
Lic. N 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
of the Mason County ordinance requirements for BUILDING DEPT. g5—
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PL ECK BY APPROVED FOR IS UANCE
Owner __ Date, 'X BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH