HomeMy WebLinkAboutBLD16791 Mobile Home - BLD Permit / Conditions - 5/9/1985 SIX, Keith E. #16791
5-9-85
Div 8, Lot 109
Larson Blvd.
653 Pleasant Ave. Bremerton 98310 479-8948
Contractor
Harbor Mobile
Homes
Mobile Home 1984 28x44 3 bdrm.
$22,792.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: 0 7 $5-
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:IVe —
�.�
5-As- Q
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 i
DATE ISSUED ♦---
PERMIT NO.
OWNER //'/ NA L� IL ADDRESS CITY 6 STATE ZIP PHONE
f'SLi �• Six 3 as a.,'T /�/G%i+aZt��f� 3/v �l7fy=
DIRECTIONS J�
TO JOB SITE N L� I�p L{ L v?' A> c' L
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Cr
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR 1/X1'V //J "0
C ?
USE OF
BUILDING
Class of work: �11 NEW ❑ ADDITION ❑ ALTERATIOI+ Q ❑ REMOVE
Describe work:
S le / U a F n 0 h , / / 0 •� .,�,
Ij
Valuation of work: $ 0 _ PLAN CHECK FEE PERMIT FEE
7 1 7 57,
SPEC L CONDITIONS:
1,4
BED MS DECKS CARPORT ❑ NOTICE
BAT OOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ I 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 Ferrmit
ate of Washington and I am aware of the F O F F I C E USE ONLY
ordince requirements regulating the work for which
the is issued and all work done will be in
CO Ormance therewith. PERMANENT f SHORELINES '
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic NV 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 and that all work done will ROAD ACCESS
be in conformance therewith. MOT R VEHICLE PERMIT
Owner 'j 62- / Date APP CA ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
BY
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
r.WPICTMACTr1WN PPINTINr: