HomeMy WebLinkAboutBLD16691 Mobile Home - BLD Permit / Conditions - 4/17/1985 MUMS, Clinton R. #16691
4-17-85
Lot 1, SE-1/4 Shore Plat #1078-
11642 Riverside Place SE, Olympia 98503 A59-7415
Hwy 101 to Olympic Hwy (Kamilche turn left) East to
Kamilche Pt. Rd. ,then left to Bloomfield Rd. Turn
right to Arabian Rd, then left to lst driveway.
Contractor
N/A
Mobile Home 1985 14x66 2 bdrm.
c, '7 noi, nn
Shorelines: ^1 .
Setback: Gr 1 .
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED `'`
PERMIT NO. V-
OWNER NAME MAIL ADDRESS, CITYn
A�E� ZIP PHONE
DIRECTIONS w q /o/ cTt y�rh/"'C t1-� �l� y n'cC r> -/WPA iAVIA lter* ri. P(IA-t . ?Ate
TO JOB SITE •t � T - 77t*0-7U l i / U 4 75 S�` :flies
LEGAL /� p (❑ SEE ATTACHED SHEET)
77
DESCR. #� L( l I Z� Q — /v G
NAME/ MAIL ADDRESS CITY STATE LICENSE NO. PHONE
CONTRACTOR /_�1L
USE OF G 9 I
BUILDING /`ty�(�C� � Q i r J 1 l �.-Ov ✓Y)
Class of work: 'NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ �e7'�l ✓ PLAN CHECK FEE PERMIT FEE K
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
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 at I am a currently registered contractor in WORK IS COMMENCED.
the Sta of Washington and I the
aware of the F OOFFICE USE ONLY
ordinan a requirements regulating the work for which
the pe it is issued and all work done will be in
confor ance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. '-,y7 5
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
whic4hisrmit is issued and that all work done will ROAD ACCESS
be ie MOTOR VEHICLE PERMIT
„ ` APP ATION ACCEPTED BY PLANS CHECK BY AAPPROVED FOR ISSUANCE
ate. � � JBY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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