HomeMy WebLinkAboutBLD12284 Cancelled Mobile Home - BLD Permit / Conditions - 1/9/1991 Robertson, Charles J. #12284
4/13/82
Lake LimerJck, Division 4, Lot 191
Mason Lake Rd to Olde Lyme Rd, 1.75 miles on right after
turning onto Olde Lyme Road.
Mobile Home Contractor:
14'x70' None Listed
18,130.00 Shoreline Exemption
One room to be used as sewing room - 2 bedrooms
Shorelines: - - - - - -
Setback: _
Special Conditions:
Footing: ,,
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
BUILDING PERMIT-APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED .01 F
PERMIT NO. /2�2
' NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNERAm plirs'J4 #
DIRECTIONS
TO JOB SITE J11 �f•E1'[./
LEGAL ,,��,�pp ���, � (❑ SEE ATTACHED SHEE
DESCR. �{ &eAf, 74271f d4-,'
NAME MAIL ADDRESS U CITY S STATE LIC#NSE N061 PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
70 '
PLAN CHECK FEE PERMIT__FEE
Valuation of work: $ `l/ 130. 0 0 S
SPECIAL CONDITIONS:
_.
BEDROOMS-A!,
EDROOMS DECKS_ CARPORT ❑ NOTICE
--
BATHROOMS TOTAL SQ. FT. _ GARAGE [ !
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES— BASEMENT L� ATTACHED LI OR AIR CONDITIONING.
TOTAL SO. FT.#ft I FIREPLACE i I DETACHED L;
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
Pf 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 am aware of the FOR OFFICE U S ONLY
ordinance requirements regulating the work for which
the permit Is Issued and all work done will be In PERMANENT SHORELINES
conformance therewith.
SEASONAL 1 1 FLOODPLAIN [1
Firm E.D. NO. S.E.P.A. I
Special Approvals IN OUT YES APPROVED NO
By
Lic. No.—
Date ZONING
PLANNIN P t
HEA LTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE
contract or registration law RCW 18.27, and am aware BUILDING DEPT. j $.2 et
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in c nformance here ith. MOTOR VEHICLE PERMIT
/ I 4RPLICATION ACCU&d. EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
PL CHECK VALIDATION CK. M.O. CASH P .RMIT VALIDATION K. M.O. CASH