HomeMy WebLinkAboutBLD12206 Final Mobile Home - BLD Permit / Conditions - 4/27/1982 Cummings, Jack R. #12206
(3/30/82) 426-9156
Lake Limerick, Lot 123, Divisiion 4
Turn right on Dartmoore, continue to Lot 123 across
from Smiths place.
Mobile Home Contractor:
None Listed
$19,536.00
Shorelines:.
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:_
Fireplace:
Wood Stove:
Plumbing:
Mechanical: _
Roof:
Exterior:_
Interior:
Final:—
Stop Work:
Mobile Home .-Z 7--
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3
j� DATE ISSUED 3
G .551 ,J�C r "_ " `FY � PERMIT NO. �o�a 0 10
OWNER NAME MAIL ADDRESS VTY&STATE ZIP PHONE
DIRECTIONS ^S6n1 LAC. RD. To ,/► iw EtiTRh,vCE �.iMERlCK_TURN RI ff/ oN DgR7fn«RE r�-v4
TO JOB SITE t
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDINGE. CC
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ 19, 536. 0PLAN CHECK FEE PERMIT FEEd,
� v�
SPECIAL CONDITIONS:
BEDROOMS__ DECKS _ CARPORT C NOTICE
BATHROOMS TOTAL SO. FT. GARAGE L]
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] ATTACHED L OR AIR CONDITIONING.
TOTAL SQ. F7.14zLL6 FIREPLACE I 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 IrY� SHORELINES
SEASONAL ❑ FLOODPLAIN
Firm E.D. NO. S.E.P.A. 11
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. Aq
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 conformance therewith. MOTOR VEHICLE PERMIT
(1401-w
LIGATION ACCEPTED BY PLANS CHECK BY APPR�ED FOR ISSUANCE
OwneDate U L BaYh�rQw7.�'v
-4�jv
N CHECK VALIDATION CK. M.O. CASH ISERMIT VALIDATION CK M.O. CASH
I