HomeMy WebLinkAboutBLD15402 Final Mobile Home - BLD Permit / Conditions - 6/29/1984 EDWARDS, Thomas W. #15402
4-18-84
Beard's Cov a Div. 7, Lot 40
NE 3170 Hwy 300
Belfair, Wash 98528 275-2083
Contractor
Self
Mobile Home 1957 8 x 45
$1,800.00
Shorelines: 41A
Setback: e /e
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:? /-7 9 y y
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
W
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 / �
DATE ISSUED .►�
PERMIT NO. Z�
OWNER AME ADDRESS7=AS bo /UE 3i'90 44 b . &1 4i,¢ & PHONE
g3�
DIRECTIONS
TO JOB SITE
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. ,�eLt/"gCJ C�orJ1z
NAME MAIL ADDRESS CITY&STATE
CONTRACTOR LICENSE NO. PHONE
USE OF
BUILDING ��/ �.
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
O�)
X �d
Valuation of work: $ lj PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS _ CARPORT LJ NOTICE
BATHROOMS_ I TOTAL SO. FT._ GARAGE
ATTACHED i� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L; OR AIR CONDITIONING.
TOTAL SO. FIREPLACE DETACHED I 1
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 Stat of Washington and I the
aware of the FOR OFFICE USE ONLY
ordina a requirements regulating the work for which
the p rmit is issued and all work done will be in
conf mance therewith. PERMANENT ; SHORELINES
SEASONAL I i FLOODPLAIN I I
Firm E.D. NO. S.E.P.A. Li
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 0 o.0 clan
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/Is permit is issued and that all work done will ROAD ACCESS
be i Iformanc erewith. MOTOR VEHICLE PERMIT
`/ APP ICATI ACCEPTED B PLANS CHECK BY APPROVED FOR ISSUANCE
Owner ate . 1 ffAl BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH