HomeMy WebLinkAboutBLD10389 Mobile Home - BLD Permit / Conditions - 4/22/1981 DRAKE, Bobby R. #10389
04-22-81
Belfair - Beards Cove - Between Mark Dr. & Twain Dr.
Beards Cove, Div. 8, Lot 83
Contractor
Karr Brothers Home, Inc.
Mobile Home
$22,200.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. l V 3 jl
OWNER NAME, MAIL ADDRESS CITY 3 STATE ZIP � PIjE
AZ'
DIRECTIONS P �
TO JOB SITE
4 r"W(?a 2
LEGAL (❑ SEE ATTAC D SHEET)
DESCR.
NAME MAIL y
ADDRESS—am CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR �'�„ �np�PRs mows .YN o S [LAO&M A11.4i _jm 6S22
USE OF f
BUILDING (3 l r� Af Q,
Class of work: NEW ❑ ADDITION 0 ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
Describe work: !
pew
Valuation of work: $ iy C-) 0 0 PLAN CHECK FEE PERMIT
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR 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 thheerrewith. ,/� // PERMANENT SHORELINES
11
Firm / I� r(JJ'07 PIGS f(�O�P „��L SEASONAL ❑ FLOODPLAIN O
E.D. NO. S.E.P.A. ❑
By J/ p�/ Special Approvals IN OUT YES APPROVED NO
Lic. No./�/�OAJp'/�/ _.AL (✓��7 Date y ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. (� 3
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. MOTOR VEHICLE PERMIT
/ A71P
N AC PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner 1T[� Date. � / BY
PV CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH