HomeMy WebLinkAboutBLD294 Mobile Home - BLD Permit / Conditions - 8/31/1979 Parker, Michael J. #294
8-31-79
Lot 46 of Beards Cove No. 6
North Shore in Belfair - Beards Cove Larson
Blvd.
Mobile Home
BUILDING PERMIT APPLICATION
' MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Lee 'L
LDIRECTIONS Np�, Skooee- �� eelo,41k B'e*,eDS CGv� jLA050 X
TO JOB SITE
LEGAL` A,01- 46 OF efA�e S OU t- IV O• 4-S {COR ! (❑ SEE ATTACHED SHEET)
DESCR. /' L 1 o o 0rJ
CONTRACTOR NAME MAIL ADDRES CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING Qr77W'
Class of work: J'NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
-u' - A?79
Valuation of work: $ PLAN CHECK FEE PERMIT FEE�D�
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ 2 TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT./,5QO FIREPLACE ❑ DETACHED ❑
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
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
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. 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.
which this permit is issued and that all work done will ROAD ACCESS
be in confor nce lerewit MOTOR VEHICLE PERMIT
APP ICATION ACCEPTED BY PLANS CHECK BY [jAjPPR�FOR ANCE
Owner e.
V000e
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH