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HomeMy WebLinkAboutBLD9777 Mobile Home - BLD Permit / Conditions - 1/18/1980 Cox$ Ted G. #9777 1-18-80 Beard's Cove Section 7 Lot 38 30-23-1 Between Larson Lake ELvd & Beverly Lane Mobile Home • BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED /— a� PERMIT NO. '7 777 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE E11) BP:Ej� GM W A 3/6 1-� 5-72 DIRECTIONS %j�� I TO JOB SITE J A/ &n12,bS L -! -14C?sc-Y !cam Q iLot> t &U� LEGAL /n� (❑ SEE ATTACHE HEET) /'V1A&0vt DESCR. 13�S t�vog- Lo r Si rl-tPZc/N ��.30 �� 1V pj l,) Lj, �.bct�cY' NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF i BUILDING Iz�St'0 L-`�j L.-`� l/Lr14R— rD-L VJ- Class of work: [KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE Describe work: O o � As r<\ Lk A- G � :::::] L-,b-r A3a t,(- /0 C�c r2�cP w A 6,-(en �/��/< 0 -s - Valuation of work: $ PLAN CHECK FEE �ERMIT FEE SPECIAL CONDITI NS: �L Urf?C AE ct° rYl I/U O T Lam/} 2fs 7� tci rTb ©AK _ nl LgL9Zq, V voa BEDROOMS DECKS CARPORT I I NOTICE BATHROOMS Z- TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT I OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACEI-�` IDETACHED 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 f I SEASONAL FLOODPLAIN I I Firm E.D. NO. S.E.P.A. I7 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in c rmance therewith. MOTOR VEHICLE PERMIT APPLICATION A CEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owne Date PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH