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HomeMy WebLinkAboutBLD15988 Final Mobile Home - BLD Permit / Conditions - 11/1/1984 BROWN, Ern. #15988 . 8-14-84 Lake Limerick, Div. 4, Lot 180 E 31 Highland Park Union, Wash. 98592 898-7131 Past Limerick store to overpass - right on Ole Lime Rd. 5th lot on right Contractor Self Mobile Home 1973 24x64 2 bdrm. $19,200.00 Shorelines: /y Setback: l' Special ,unuxLTnits Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: r // � Stop Work: Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 `. 426-5593 DATE ISSUED PERMIT NO. OWNER NAME rJ MAIL ADDRESS CITY 8 STATE ZIP _ PHONE DIRECTIONS _ / /101— CA-' 60 LvT TO JOB SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR le NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING - Class of work: ❑ NEW ❑ ADDITION ❑ A ION REPAIR ❑ MOVE 1-111REMOVE Describe work: C� 16e dV'ooll44LVL Valuation of work: $ / 0^ PLAN CHECK FEE PERMIT FEE C , SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT 1 J NOTICE BATHROOMS TOTAL SO. FT.__ GARAGE ; 1 ATTACHED i ; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES JBASEMEN`ri . OR AIR CONDITIONING. TOTAL SO. FT/r FIREPLACE : DETACHED L 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. tie State of Washington and I the aware of the FOR OFFICE USE ONLY rdinance requirements regulating the work for which the permit is issued and all work done will be in Conformance therewith. PERMANENT SHORELINES SEASONAL I I FLOODPLAIN i i Fir E.D. NO. _ S.E.P.A. I : 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. a which this permit is issued and that all work done will ROAD ACCESS be �5nformanc e therewith. I !� MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner ate PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH