HomeMy WebLinkAboutBLD1125 Mobile Home - BLD Permit / Conditions - 8/31/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED—
PERMITDD > '"
NO. ` '2
NA MAJL ADDRESS CITY&STATE ZIP Ct 800� PHONE
OWNER rj ( ?�" J it-th '( (O—�.�&?70
DIRECTIO
TO JOBS E 0
LEGAL (❑ SEE ATTACHED SHEET)
�y W DESCR. 7 O �, � �'� �,,f 6 _. -��ry''C.VJ�fM
NAME MAIL ADDRESS Ity&STATE LICENSE NO. PHONE
CONTRACTOR C' �,
USE OF
BUILDING
L
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPA )QMOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
QD
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT FJ NOTICE
BATHROOMS ' TOTAL SQ. FT.__._ GARAGE
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIEjjS�-L BASEMENT [] E ❑ OR AIR CONDITIONING.
TOTAL SQ. FTk- 0 FIREPLACE Ci 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 LI 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.
HEALTH DEPT.
OWNERS AFFIDAVIT
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
Zfiich this permit is issued and that all work done will ROAD ACCESS
e in conformance therewith. MO VEHICLE PERMIT
'� G PLICA 10 AC TED B PLANS CHECK BY APPROVED FO ISS
CASH
U NCE
Own
nu Date . / BY
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
LUND, Pete and Joe Erga #11258
19205-1st, Pl. S,E, Bothell 08-31-81
On Twain Lane, BEards Cove #8, Lot 90
Mobile Home Contractor - Self
$11,322.00
Shorelines:
Setback:
Special Con itions:>,
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing- -
Mechanical:
Exterior:
Interior:
Final 6 9
Stop Work:
Remarks: