HomeMy WebLinkAboutBLD7595 Final Mobile Home - BLD Permit / Conditions - 11/4/1980 Morse, Ronald D. #7595
10-9-80
Beard's Cove, Div. 8, Lot 9
Mobile Home (Variance - Blocks)
$16,742.00
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• . BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 r
DATE ISSUED �•-'� I
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE - ZIP PHONE
e 7 � d
DIRECTIO11S
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. be A Y-CIL C 1 �S �o-4
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF �1
BUILDING Per A r, 4 e_ ry ,C2
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
r l-, FS
Valuation of work: $ �_ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
DX 2
BEDROOMS DECKS CARPORT ❑ N OT I C E
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El 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 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 ❑
SEASONAL ❑ 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 and that all work done will ROAD ACCESS
be in conformance therewith. M R VEHICLE PERMIT
n f A A P ATION A BY PLANS CHECK BY APP OV D FOR SUANCE
nP ��Ow —Date. o BY
I -
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH