HomeMy WebLinkAboutBLD7525 Mobile Home - BLD Permit / Conditions - 10/1/1980 Warren, Ralph #7525
10-1-80
4'
Beard's Cove
Division 7 - Lot 37
Mobile Home
$24,864.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /o_ /
DATE ISSUED
PERMIT NO. / ✓� Sr
OWNER AM MAIL DDR S CITY a STATE ZIP PHONE
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DIRECTIONS R
TO JOB SITE V�� CL,�e— /
LEGAL -'7 / 7 (❑ SEE ATTACHED SHEET)
DESCR. / L-dl -7 7 /�GI L �j✓�
NAME MAIL ADDRESS CITY 8 S ATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING Q �GY\9-fi QS)
Class of work: Z NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: �1
Valuation of work: $� D PLAN CHECK FEE PERMIT FEE 50?5
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, HEATING, VENTILATING
S ❑ ATTACHED ❑
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FTIVLa 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 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
SEASONAL ❑ FLOODPLAIN Li
Firm E.D. NO. S.E.P.A. Ll
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HLALTH D
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 con ormance therewith. ® aAPATION
VEHICLE PERMIT
0w�-/" AC BY PLANS CHECK BY R ANCE
Owner . O , B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH