HomeMy WebLinkAboutBLD2530 Final Mobile Home - BLD Permit / Conditions - 9/22/1978 Agnew, Leo E. #2530
7-31-78
Lake Limerick Div. 4 Lot 158
Mobile Home
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. BUILDING'PERMIT APPLICATION r
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED V31170
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STAT ZIP PHONE
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DIRECTIONS E I
TO JOB SITE �Lo l. �. Ae
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LEGAL (= (❑ SEE ATTACHED H ET)
DESCR. 4R C� tq
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NAME MAIL A15DRESS CITY&ASTATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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pre y(b,ws 0 14 yt Q I- -166661r,
7tw- o eld 16� `d d
Valuation of work: $ PLAN CHECK FEE PERMIT F E J O dO
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE[]
NO. OF STORIES BASEMENT ElATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 therewith. PERMANENT SHORELINES i J
SEASONAL [] FLOODPLAIN
Firm E.D. NO. S.E.P.A. I !
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
confo ance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
O/n4F� Date .
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
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Leo. Agnew
3921 ( Sp 7) E . 4th Plain B1
Vancouver, YvA 98661
July 26 . ' 78
Mason Regional Planning council
5th and birch Sts PO Box 186
Shelton , IVA 98584
Lear Sir/Madam:
In order to move my mohile home from vancouver vvA to Lake
Limerick (Div 4, Lot 158) on Aug 28. ' 78, it is necessary to acquire
a building permit from your department. i already have the building
permit number ( 2530) but in order to get the permit itself, you need
the number of the Motor Vehicle Permit which we received today. its
number is 242.
I trust everything is in order now and all we need is the Building
Permit from you. i hope the Plot Plan I sent you is satisfactory.
I hope to hear from you before long
Yours Sincerely
Leo E. Agnew