HomeMy WebLinkAboutBLD15150 Mobile Home - BLD Permit / Conditions - 3/26/1984 HOWLAND, Walter P. #15150
2-6-84
Lake Limerick Div 5, Lot 6
E. 171 Clonakilty Dr.
Shelton,Wash. 98584 426-3487
Contractor
Self
Mobile Home
$24,864.00
Shorelines: /J/,q_
Setback: zz�
Special Cond tions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final: c�•(�3 �G Sri/
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
-1V C'�C�/7CL //� J PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&tATE ZIP / PH-ONE,7y 7
3 t _
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 7 �
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING ���/ i?(?N e- E
Class of work: .NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
40
j" � 4 �:4 to D o 2 "S/
e of xa 91
00
Valuation of work: $ PLAN CHECK FEE PERMIT FV
f�CciC CA,� re J
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT,< NOTICE
BATHROOMS__ TOTAL SO. FT.,/-(-b GARAGE :J
ATTACHED Li SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
A
NO. OF STORIES 1_ BASEMENT L; OR AIR CONDITIONING.
TOTAL SO. FT O FIREPLACE C 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 FOR A PERIOD OF 180 DAYS AT ANYTIME 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. PERMANENT SHORELINES
SEASONAL I , FLOODPLAIN f
Firm E.D. NO. S.E.P.A. L;
By Special Approvals IN OUT YES APPROVED NO
Li\i Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 3
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
be in nfor ance ear MOTOR VEHICLE PERMIT
PPLICA N ACCEPTED BY ,�jPLANS HECK BY APPROVED FOR ISSUANCE
Owner ate . I L J BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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