HomeMy WebLinkAboutBLD9404 Mobile Home BLD9490 Footing - BLD Permit / Conditions - 5/26/1976 Arnold, Donald #9404
5-26-76
Lake Limerick #4, Lot #235
Mobile Home
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s
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO. �1
OWNER NAME MAIL ADDRESS CITY i STATE ZIP PHONE
//& oii�F.0 d. ,� �� ��-I-rfs—
DIRECTIONS _ _
TO JOB SITE /t�. /-
LEGAL (O SEE ATTACHED SHEET)
DESCR. L-U
NAME MAIL ADDRESS CITY d STATE LICENSE NO. PHONE
CONTRACTOR
,2:-/2A li%c.f. C, v�
USE OF
BUILDING I ES AJC C _
Class of work: $ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE I] REMOVE
Describe work:: _
fik l G/1/ I—e)7—
Valuation of work: $ v ` PLAN CHECK FEE PERMIT FEE
�O
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED FOR.ISSUANCE Type of Occupancy Division
Const. /L y 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 j
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. ,/ R7l/4C-0 �
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County Ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
/ ✓� � `� Try WORK SUSPENDED
COMMENCED.ONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
i
k,
Arnold, Don #9490
6-8-76
Lake Limerick #4, Lot #235 Contractor:
Olson Construction
Concrete Ribbon Supports for
Mobile Home
$600.00
t
BUI ` ING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 985e4
DATE ISSUED 7�
PERMIT NO. Q15
OWNER N ME MAIL ADDRESS CITY&S ZIP PHONE
c �
DIRECTIONS IL�111/
TO JOB SITE �J
LEGAL (C SEE ATTA ED SHEET)
DESCR.
N CONTRACTOR f+ IL ADDRESS CITY S T ' 1 NJ $E N PHONE 00,
�3 ' �
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
oo
Valuation of work: $ QO - +� PLAN CHECK FEE PERMIT FEE '
SPECIAL CONDITIONS:
APPLyCA�N ACC EPTED,BY PLANS CHECK BY APPROVED FOR ISSUANCE I Type of Occupancy Division
Const. 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 ev,are 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_ � � v` PUBLIC WORKS
By—_
ROAD DEPT.
Lic. No.._ u' y� '? J�' Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be In conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner --Date.. WORK IS COMMENCED.
PLA I CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH