HomeMy WebLinkAboutBLD16641 Final Mobile Home - BLD Permit / Conditions - 4/22/1985 WARD, Jerry J. #16641
4-3-85
Por NW-1/4, NW-1/2 32-21-3
E 1201 Jenson Rd. Shelton
Contractor
None listed
Mobile Home 2 bdrm.
$3,360.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
P l.umbing:
Mechanical:
Roof:
Exterior:
Interior-
Final:
Stop Work•
Mobile Home:
Smoke Detector:
Remarks:
/ • A
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 \ �
DATE ISSUED 'J �—
PERMIT NO.
OWNER NAME MAIL �_ CITY&SAT ZIP PH
f, a
DIRECTIONS
TO JOB SITELEGAL r
DESCR. J�• N� '/!✓ /V W /� �^ �' /� (D SEE ATTACHED SHEET)
CONTRACTOR NAME LLLL MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF )Il�c � , /� ,,MBUILDING , /
Class of work: ❑ NEW ❑ ADDITION kALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: cl
'4� e�
Valuation of wo $ PLAN CHECK FEE P IT FEE__
SPECIAL CONDITI S:
BEDROOMS {DECKS CARPORT [] NOTICE
BATHROOMSttJ I TOTAL SO. FT. GARAGE 1
ATTACHED i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STOR BASEMENT L; OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE i DETACHED L!
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 State of Washington and I am aware of the FOR OFFICE USE ONLY
ordin ce requirements regulating the work for which
the rmi the
is issued and all work done will be in
conf rmance therewith. PERMANENT i l SHORELINES i
SEASONAL I I FLOODPLAIN 1
Firm E.D NO. S.E.P.A. 1
By Special Approvals IN OUT YES APPROVED NO
ZONING
Lic. No. Date
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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 t permit is issued and that all work done will ROAD ACCESS
be in c n rma a therewith. MOTOR VEHICLE PERMIT
APP ATION AC D BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner —._ at l BY
J
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH