HomeMy WebLinkAboutBLD16344 Final Mobile Home - BLD Permit / Conditions - 12/11/1984 CULVER, Carolyn L. #16344
• 11-20-84
Sam B. Theler Home & Garden Tracts Tract 19-A
NE 22994 Hwy 3
Belfair 275-3176
Contractor
Kitsap Mobile
Home Repair
Mobile Home 1981 56x14 2 bdrm.
$14,504.00
Shorelines: ^/,9.
Setback: /e
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: 1h1(-'1�2 i/ ,�71
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 —
' DATE ISSUED
PERMIT NO. /(,�%-6�
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
L. r o e: er &' 02 7
DIRECTIONS I I
pp
TO JOB SITEs6m —'h — a w . 1J &;r
LEGAL 11 I (❑ SEE ATTACHE SHEET)
DESCR. Xk
Q G01r1d 0c�ck. I� rN
NAME MAIL A DRE CITY 8 STATE LICENSE NO. PHONE
1 1'r
CONTRACTOR A1.b 1 e 4 SS
USE OF
BUILDING NI blM e
Class of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ O� PLAN CHECK FEE PERMIT FEE
'6�
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT 11 NOTICE
BATHROOMS. 1 TOTAL SO. FT. GARAGE ' _
ATTACHED i 1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT (! OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I 1 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
c formance therewith. PERMANENT 1 P" SHORELINES
SEASONAL I ! FLOODPLAIN I i
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in rmance therewmMOTOR VEHICLE PERMIT
A P ICATI ACCEPTED BY PLANS CHECK BY AP ROVE QR ISSUANCE
1 t
kN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. C AS H