HomeMy WebLinkAboutBLD9782 Mobile Home - BLD Permit / Conditions - 1/23/1980 Langan, I.Illanor F. #9782
1-23-80
Beards Cove Div. X Lot 47
Mobile Home
BUILDING PERMIT-A PPL ICA TION
• MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 'i
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL AD DRE S CITY&STATE ZIP PHONE
N -
DIRECTIONS ��(, r
TO JOB SITE _ / E �
LEGAL (❑ SEE A17XCHEb SHEET)
DESCR. O - 5 106&/
CONTRACTOR NA AIL ADD SS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work. ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ S4)b 44 PLAN CHECK FEE PERMIT FEE v
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS____ TOTAL SQ. FT.,7-)-jC-> GARAGE [J
ATTACHED [i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO, OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED Li
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. PERMANENT SHORELINES I I
SEASONALII FLOODPLAIN
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
HEALTH DEPT. QQ ��/ /
OWNERS AFFIDAVIT
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 i onformance therewit MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVE OR ISSUANCE
Owr(ell Date. /J
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CA H