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HomeMy WebLinkAboutBLD12067 and BLD12185 Final Mobile Home - BLD Permit / Conditions - 7/15/1982 DUPLICATE CARD Caubre, Randy L. #12067 & 12185 2/25/82 876-5800, Pt. Orch. Beard's Cove, Division 7, Lot 25 North Shore Road from Belfair to Sand Pit Hill Road, half way up hill on left, NE 130 Admiral Drive. Mobile Home Contractor 1981, 24'x60' None Listed $26,640.00 Shorelines: Setback: pit' - Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: r 7 /T Stop Work: Mobile Home:!'��' Remarks: BUILDING PERMIT APPLICATION 11 MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 1\+C 130 P0vn ra LDS, DATE ISSUED —o254c�,l PERMIT NO. ldo4 / ,vL OWNER NA E MAIL ADDRESS CITY STATE ZIP PHONE L �' 3rs�o a� �t S or kl 91f-?66 F26 Sl?a0 DIRECTIONS , ro le Ih J!t�►s(�Vill 'JIt (&/ /T 0 Le JOB SITE ,, Q LEGAL � - ( SEE ATTACHED SHEET) DESCR. NAME MAIL ADDRESS / CITY 8 STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Q`Y9 Z' Class of work: C(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: J P f uITe 'fa yt O b v 0 . � Ig Valuation of work: $ Y PLAN CHECK FEE PLIAMIT FEE SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS_ TOTAL SQ. FT. GARAGE ❑ ATTACHED L� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT.-' 0 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 FO 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 J SEASONAL [] FLOODPLAIN 17 Firm E.D. NO. S.E.P.A. �i By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. /07 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 in conformance therewith. MOTOR VEHICLE PERMIT ZS AP LIGATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date. P N CHECK VALIDATION CK. M.O. CASH PE IT VALIDATION CK. M.O. CASH