HomeMy WebLinkAboutBLD15260 Cancelled Mobile Home - BLD Permit / Conditions - 1/9/1991 WALDRON, Raymond #15260
3-15-84
Lake Limerick Div 4, Lot 206
Lake Limerick, Old Mill Road
Contractor
None named
Mobile Home 1969 12 x 60 2 bdrm.
$3,600.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing-
Mechanical:
Roof:
Exterior :
Interior :
Final: _
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
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DATE By
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER E MAIL, ESS CITY 3 STATE ZIP PHONE
D
DIRECTIONS
TO JOB SITE g0 ` U"'
LE AL
(❑ SEE ATTACHED SHEET)
DESCR. ���-k�a �im� �-i e / v y COT
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF /, / /D CJ •/�
BUILDING /
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
c
O ti
Valuation of work: $ PLAN CHECK FEE PERMITVE
SPECIAL CONDITIONS:
Z_ G r 7
BEDROOMS I DECKS CARPORT i_; NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE !J
ATTACHED i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SO. F FIREPLACE DETACHEDi
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
7,R,Q 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
ordinanc requirements regulating the work for which
the per it is issued and all work done will be in
confo ante therewith. PERMANENT SHORELINES
SEASONAL FLOODPLAIN
Firm
E.D. N0. ___ S.E.P.A. i
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT. /5
OWNERS AFFIDAVIT HEALTH DEPT. I�j� D ri7-7,
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
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date- -�� BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH