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HomeMy WebLinkAboutBLD2701 Mobile Home - BLD Permit / Conditions - 12/27/1978 Melugin, $obby L. #2701 12-27-78 Belfair Manor Lot 16 Beginning at the NE Corner of the SSW 1/4 NE 1/4 IU-91-1 Turn right up Sand Hill Road and turn left on Gravel road about 1 mile up after turning follow lot numbers on left side of road to no. 16, Mobile Home BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 G DATE ISSUED_ PERMIT NO. iD MAIL ADDRESS CITY&STATE ZIP �y PHONE gC Alf DIRECTIONS TO JOB SITE ����/}/I2 is'Ii�rrJO _ /_O l� -j"e '7T" " S Cie LEGAL L ( EE ATTACHED SHEET) DESCR. SC?P 2� Le2� f�E'SC�/6P1 NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING f)f Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE C-�-REMOVE 'TY e- ' 4- K39. S OR&I' £ go VC G >(14 3 Rc'�roam -rD BA) 5 70/V-3rl See. A;o, iqS// Describe work: Valuation of work: $ f ,gin PLAN CHECK FEE PERMIT FEE �O SPECIAL CONDITIONS: ` c, _ _ i1/nu•Go If APPLICATION ACCEPTED BY1 PLANS CHECK BY PROVED FOR ISSUANCE Type of Occupancy Division Q, Const. Group ae—1 Size of Bldg. No. of Max. otal) Sq. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT PERMANENT SEASONAL E.D.NUMBER I certify that I am a currently registered contractor in RESIDENCE the State of Washington and I am aware of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING HEALTH DEPT. 0 Firm PUBLIC WORKS By ROAD DEPT. Lic. No.— Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N O T I C E contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 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 Owner Date . WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH rr. --�:nTr i '► rq, ry,c�,��t:� -fit'' .A: r'. ,ti. ,p �r .•r .,r �. ,r. ►'. ,F _ �� q, S � ,.• t. 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Sellers agree to sell to purchaser and purchaser agrees to buyfrom commonly known as Belfair Manor No. 1^ seller a parcel :}T _ according to the legal description herein, Mason � ' ry` *`' County, Washington. g SUBJECT TO all easements, restrictions, reservations and covenants of record. J�i3:r3�' �t A - • �� 23 T =ID w aroma �- • 5 3 1°�t ' �!'.�y Q5 Scott a1M, N "02037 9421.4 to V. It stld cla1� t to a t�.`Jzs� .ioas� rlt ;Gtgyp,' ea xci a .re property 9�ve eaz t dog is �r3dC�, for i 2. 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