HomeMy WebLinkAboutBLD17578 Final Mobile Home - BLD Permit / Conditions - 9/12/1985 PERRY, Pearl #17578
6-26-85
Mission Creek Block 5, Lot 9
P. 0. Box 263 Tracyton 98393
Mission Creek Inc. , 2nd lot past culvert or bridge of
creek.
Contractor
None listed
Mobile Home 1 bdrm. 1982 14x56
$14,504.00 SHARING SAME SEPTIC SYSTEM WITH RICHARD
AYERS. SYSTEM IS SIZED FOR 3 BDRMS.
Shorelines:
Setback: f
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:—(IX'- ' 17 7
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.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER '�74LC Jr CcIC.a�.
DIRECTIONS
TO JOB SITE SSltih er i L. .LTrie� �U{� tG1 /- %d -C •
LEGAL SEE ATTACHED SHEET)
DESCR. e-Qtr.•�.�S T 9 GiQIC�
CONTRACTOR NAME MAILADbRESS V V CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING yp �
Class of work: ❑ NEW ❑ ADDITION ❑ ALTE R X MOVE ❑ REMOVE
Describe work: ` �}
C.c a.ct V�1
Valuation of work: $ pp/ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: s
�'/z�.d r 3 �o/rvr� ���•- a � Fps
BEDROOMS_ -_ {DECKS — CARPORT [.l NOT I C
BATHROOMS___— (TOTAL SO. FT. GARAGE []
ATTACHED i l SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ ! OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE i: DETACHED [7
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 CO O C C I C C US ONLY ordinance requirements regulating the work for which r r r
t e permit is issued and all work done will be in
c nformance therewith. PERMANENT SHORELINES I
SEASONAL I FLOODPLAIN 1
Firm E.D. NO. S.E.P.A. i i
Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. -A-95 6-14_fy5
OWNERS AFFIDAVIT HEALTH DEPT./Da b1l M _
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOT OR VEHICLE PERMIT
PLIC TION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Own Date .. BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH