HomeMy WebLinkAboutBLD7689 Final Mobile Home - BLD Permit / Conditions - 7/12/1979 Greenleaf, Robert J. #7689
10-24-78
Beards Cove 8 Lot 15
Mobile Home
ylo �yo�.K.�� � �e��M.r�
" BUILDING PERMIT APPLICATION
_,, -4112�
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /G 4"X -7X
PERMIT NO.
NAME MAIL ADDR CITY&STATE ZIP PHONE
OWNER
a8�k7� E S X sipi}i�
DIRECTIONS /O�W S�O�E 7-98�i,4,e4 �S 60{lC
i TO JOB SITE �(J /G!�
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. CO�, r / 0�/
CONTRACTOR
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: / '
Valuation of work: $ a p PLAN CHECK FEE PERMIT FEE
,.30Pi 0 cv.
SPECIAL CONDITIONS:
BEDROOMS ECKS CA ORT [I NOTICE
BATHROOMS_ TOTAL SQ. FT GARAGED
ATTACHED LI SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.1425j� FIREPLACE ❑ DETACHED ❑
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 I ;
SEASONAL I I FLOODPLAIN I
Firm
E.D. NO. S.E.P.A. U
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 and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
AP LIGATION APCEPTED BY PLANS CHECK BY APPR FOR ISSUA CE
Owner Date . /�o� Y
17
PLAN HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. tASH