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HomeMy WebLinkAboutBLD11367 Final Mobile Home - BLD Permit / Conditions - 10/6/1981 Dickinson, Michael & Patricia #11367 9/14/81 Beards Cove, Sec. 8, Lot 3 I Mobile Home $18,130.00 I Shorelines: 4/A, Setback: 4 Special Conditions: Footing: e,41 Setback: ,,&(, Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: © /p �j Stop Work: Remarks: i • BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED 41Q441462 ` 7 PERMIT NO. OWNER VAM MAI ADDR£S CITY&STATE ZIP PHONE DIRECTIONS ` TO"'JOB SITE 3 LEGAL (❑ SEE ATTACHED SHEET) DESCR. ' c 'CIA CONTRACTOR NAME MAIL ADDRES CITY&STATE LICENSE NO. PHONE USE OF BUILDING Alnel) Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE Describe work: l Valuation of work: $ / f�/�` 7 PLAN CHECK FEE PERMIT FEE / SPECIAL CONDITIONS:: (L / BEDROOMS — DECKS CARPORT ❑ NOTICE BATHROOMS_ TOTAL SO. FT. GARAGE ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES_I— BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING. TOTAL SO. FT.4700 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 Ll SEASONAL ❑ FLOODPLAIN ❑ 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 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformanc ► rewith. MOTOR VEHICLE PERMIT / APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Own , Date P 6AECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH