HomeMy WebLinkAboutBLD13360 Final Mobile Home - BLD Permit / Conditions - 1/17/1983 Robinson, Roquell #13360
426-9619 12/10/82
Lake -Limerick Division 5, Lot' 64 (Stella Wilson)
E 720 Old Lyme Road.
Mobile Home Contractor:
W xW , 1973 DeTrays, Olympia
$10,500.00
Shorelines:
Setback:
Special Conditions-
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Finale/, '
Stop roc
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED /.2
PERMIT NO. `�6
OWNER NAME MAIL ADDRESS CITY&STATE,?. ZIP PHONE
DIRECTION _
TO JOB SITE Alt) `� _IA-� ,6 C.i,C ' dIdv
LEGAL ��`` (❑ SEE ATTACHED SHEET)
DESCR. o5-_"� '
CONTRACTOR i
NAME MAIL AD ESS CITY&STATE LICENSE NO. PHONE
USE OF ,
BUILDING ��[ J�
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR XMOVE ❑ REMOVE
Describe work: (�
I
Valuation of work: $ /�� DO PLAN CHECK FEE PERMIT FEE,,/ o'�S
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT U NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE ['
ATTACHED C SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE LADETACHED Ll
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 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 the
aware of the FO 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
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. u
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. I/
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
4in nformance therewith. MOTOR VEHICLE PERMIT
`` APPLICATION ACCEPTED BY PLANS CHECK BY APPRCAED FOR ISSUANCE
Owner ,'It Date L /D (�/�/ BY
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH