HomeMy WebLinkAboutBLD16753 Mobile Home - BLD Permit / Conditions - 4/29/1983 08/31/2006 14:25 FAX 360 427 7798 MASON CO PERMIT CTR 003
,DAY, David W. #16753
4-29-85
Tract 5 of NW-1/4, NW-1/4 32-21-3
E 953 .Jensen Rd, Shelton 426-0862
Jensen Rd. then left then left then right,
Contractor
Mobile Home 48x28 1985 3 bdrm. None listed
$24,864.00 3 a� 3 _ ems.
0
0
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
x Foundation Walls:
H ! Framing'
u
F' Fireplace:
a Wood Stove
a j Plumbing:
0 I Mechanical:
z Roof
0 Exterior:
V I
Interior:
Final:
S G op Work:
' Mobile Rome:
Smoke Detector:
w _ Remarks:
w
UATJFa
isle
m
n
n
N
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O
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08/11/200C 14:25 FAX 360 427 7798 MASON CO PERMIT CTR 10 002
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 (�
DATE ISSUED 7
PERMIT NO.
WNER NAME MAIL ADD EBB CI STATE PHONE
IRECTIONS
JOB SITE jua .1,k-- ,1 �r `,
GAL \/ ✓v� !( L
SCR. (❑ SEE ATTACHED SHEET)
NTRACTOR NAME MAIL ADDRESS CITY A STATE LICENSE NO. PHONE
'E OF
ILDING
ass of work: 1sd NEW O ADDITION 0 ALTERATION D REPAIR ❑ MOVE O REMOVE
scribe work; `/ i
luation of work, $�� 9� o PLAN CHECK FEE PE9Y FEE
ECIAL CONDITIONS:
ROOMS DECKS___ CARPORT❑ NOTICE
HROOMS TOTAL so. GARAGE O
OF STORI S�_ BASEMENT ❑ ATTACHED p SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
AL $O. FIREPLACE ❑ D2W� ETACHED O O AIR CONDITIONING.
F
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.
the tat: th of Washington and I aware of the FOR OFFICE USE ONLY
ordi ante of
regulating the work for which
the permit Is Issued and all work done will be in
co formance therewith. PERMANENT X SHORELINES
SEASONAL ❑ F'LOODPLAIN O
E.D. NO S.E.P.A. ❑
Special Approvals IN OUT YES APPROVED NO
No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 4J—,LN&.* If
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registratton law RCW 18.27, and am aware BUILDING DEPT. S
of the Mason County ordinance requirements for
which this permit Is Issued and that all work done will ROAD ACCESS
be I onformance th r th. MOTOR VEHICLE PERMIT
SiC APPLICATION ACCEPTED BY PLANS CHHCK BYD APPROVED FOR ISSUANCE
Or ate 2�liG d�'�' D
J CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH