HomeMy WebLinkAboutBLD7500 Mobile Home - BLD Permit / Conditions - 9/29/1980 Lonie, David #7500
9-29-80
3 xxkmx miles out of Belfair on North Shore Road
to Larson Lake Rd. , turn right Lynch Cove, follow
road up on right Larson Blvd.
Beard's Cove # 8, Lot 108
Mobile Home 14 x 70
$18,130.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED q—g9'Are,
PERMIT NO. �J� V y
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
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TO JOB SITE 3 Mjkr,,5 a jT Or 3EL"lik owl 1j0121'Vk3NcRc 0?s40 To L-Ae-LOJLAlf 0�3" TuNJ
LEGAL (❑ SEE ATTA HED SHEET)
DESCR. 1a8.• 9 r OVfi
CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
USE OF -
BUILDINGL \��1�:C 3� -DA4S R CA�J
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Mo c -- / O — 7
Valuation of work: $ ` CO 0✓ PLAN CHECK FEE PERMIT FEE / 7, ^
SPECIAL CONDITIONS:
t7 K'
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT [I ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. 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 am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY-------'
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES ❑
SEASONAL Ll FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued an that all work done will ROAD ACCESS
b in nfo,rmanc 7erewi MOTOR VEHICLE PERMIT
ICATION ACCEPTE BY PLANS CHECK BY ROVED FOR ISSUANCE
Owne Date. Y
PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION K. M.O. CASH