Loading...
HomeMy WebLinkAboutBLD5746 Final Mobile Home - BLD Permit / Conditions - 9/19/1977 Hradon, John F. #5746 8-12-7T Lake Limerick Div. 5 Lot 17 Mobile Home BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED .2177 PERMIT NO. S7 yrD OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE LEGAL , (O SEE ATTACHED SHEET) DESCR. � NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR / y�D % D �S• �Q�// C C d USE OF BUILDING ff 15 Piv d �L— Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 24Y t°�V• s D h of �. Valuation of work: $ r-d PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: itPR� (CATION ACCEPTED BY PLANS CHECK BY APP V IS ANCE Type of Occupancy Division g Const. AP7 Group Size of Bldg. No. of Max. (Total) Sq. Ft. Stories Occ. Load CONTRACTOR AFFIDAVIT PERMANENT SEASONAL E.D.NUMBER I certify that I am a currently registered contractor In RESIDENCE the State of Washington and I am aware of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING HEALTH DEPT. Firm PUBLIC WORKS By ROAD DEPT. Lic. No. Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N Q r I C E contract or registration law RCW 18.27, and am aware of the Mason Count ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, y q VENTILATING OR AIR CO"WrtONING. which this permit is issued and that all work done will be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID" w RK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN ,2o DAYS, OR W c,AgTRUGTION OR WORK IS x SUSPENDED OR ABANDONED FOR A PERIQD OF 120 DAYS w� ANY TIME AFTER Owner w Date. WORK IS COMMENCED. P N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH