HomeMy WebLinkAboutBLD16717 Mobile Home - BLD Permit / Conditions - 4/22/1985 CONRAD, Carlysle #16717
4-22-85
3112 No. Mason Tacoma 98407 759-1006
Second Lk. Limerick sign turn right to Clonakilty Dt. ,
turn left.
Contractor
Self
Mobile Home 1978 14x66 2 bdrm.
$11,550.00
Shorelines:
Setback: C
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:Q y y75'
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED / J
PERMIT NO.
OWNER
NAME MAIL ADDRESS CITY&STATE (� ZIP PHONE
�L S d t"Vt.d o 2 A/17 sop vA 4 0 77S�q�v4L
DIRECTIONS
TO JOB SITEJ�ji�opjje " L C 'L L U L�
LEGAL _ (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME I MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
USE OF
BUILDING 45r'�/��
Class of work: )i NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
L0C o"& \
Valuation of work: $ j / i?^�PCAN CHECK FEE PERMIT FEE��
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑ /•O/i
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [I //n OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE [I/f'(f�fj 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 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. PERMANENT ❑ SHORELINES
0 1� A , SEASONAL FLOODPLAIN Ll
Firm /V E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.a O .2j 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
which this permit is issued and that all work done will ROAD ACCESS
be
in conformance therewith. �// MOTOR VEHICLE PERMIT
(� 7— _ 7``. APPLICATION ACCEPTED BY PLANS CHECK BY BYPROVED FOR ISSUANCE
Owner Date
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
BUILDING PERMIT # V 00
DATE 3 6 \
O
Planner Area SLO i
Parcel # Z. � z S 1 00'00
CHECKLIST FOR PROPOSED CONSTRUCTION
Comp Plan
Designation UGA RAC RCC RA For IH
Yes No
( ] [ ] Within 200 FT of SMP designated shoreline, wetlands,
etc.
Where?
[ ] [ Located near possible Critical Area,
What Kind? (Wetlands, Streams, Lakes, Slopes)
[ ] [ ] RLC already done?
[ ] Proposed construction within floodplain
[ ] Eagle nest
[ ] Six year moratorium
[ [ ] Multi-Setbacks
[ ] [ State road access needed
[ ] Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
[ ] ] Mobile Home or RV Park
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