HomeMy WebLinkAboutBLD11333 Mobile Home - BLD Permit / Conditions - 9/1/1981 PURSE, Raymond/Shirley #11333
Rt, 3, Box 295, Belfair 09-01-81
2 miles from Toonerville Park
W1/2 El/2 SW1/4 NE1/4, 2-23-2
Mobile Home Contractor -Yoest Mobile
Homes
$33,152.00
ekines:
�k-
Sr,_:,ial-Conditions.
i
Footing: j
Setback:
Foundation Walls:
Framing:
Fireplace: - ---------- -
Wood Stove:
Plumbing:
Mechanical:
Exterior:
Interior:
Final:
Stop Work:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY 13 � �
s P.O. Box 186 Shelton, Washington 98584 ;Z3 0� ,�✓
426-5593
DATE ISSUED-
PERMIT / /
NO. �1333
OWNER NAME MAIL ADD S _ ITY&STATE ZIP PHONE
YV 4) a
DIRECTIONS
TO JOB /SITE ,
LEGAL l �� � �a (❑ SEE ATTACHED SHEET)
DESCR. a CU.
NAME MAI A DRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Itt
USE OF
BUILDING `
Class of work: �0 EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Descri`e vy� 5nA�
Valuation of work: $ / PLAN CH C FEE ERMIT EE
SPECIAL CONDITION .
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE 7
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT LI ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTO AFFI VIT 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 the
aware of the FOR OFFICE USE ONLY
_ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANEN. SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. 3'v
oZ
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 this permit is issued and that all work done will ROAD ACCESS
e in conformanc therewith. MOTOR VEHICLE PERMIT Q
/ LIC TI PTED PLAN CHECK BY APPROVE FOR ISSUANCE
Ow r12, Date, / BY
AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH