HomeMy WebLinkAboutBLD10421 Final Mobile Home - BLD Permit / Conditions - 5/13/1982 CARLYLE, Dorothy #10421
04-17-81
Beards Cove #8, Lot 66
Contractor
Trident Mobile Homes
Mobile Home
$26,640.00
• _ r BUILDING PERMIT APPLICATION
Y MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 �j�'�/
426-5593
DATE ISSUED
lPERMIT N0.
OWNER NAME 111 IL ADDRESS CI STATE // ZIP PHONE
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DIRECTIO S t a. ��
TO JOB SITE '
LEGAL (0 SEE ATTACHED SHEET)
DESCR.
ME MA!,I,ADD ESS CITY&SATE LICENSE NO. PHONE
CONTRACTOR
N os �^
USE OF
BUILDING Q
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE [] REMOVE
Describe work: ! 2
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Valuation of work: $ /�� / PLAN CHECK FEE PERMIT FEE 7
p� (� r
SPECIAL CONDITIONS:
I
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
SEPARATE RE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ 08 AIR CONDI CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
/Z)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 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 u
SEASONAL ❑ FLOODPLAIN U
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
cconformance therewith. MOTOR VEHICLE PERMIT
L ATION EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner at . v,/IvI/ BY
L N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CAS
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