HomeMy WebLinkAboutBLD9904 Cancelled Mobile Home - BLD Permit / Conditions - 1/9/1991r �
Scellato, Joe #9904
275-4753 6/3/82
Haven Lake, Lot 398
Same
Mobile Home Contractor:
14'x70' , 1977 Dales
$16,000.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Remarks:
.i
PERMIT
By
-� BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS
SC leITY TATE, ZIP PHONE
��4
DIRECTIONS
TO JOB SITE
LEGAL
DESCR. (❑ SEE A CHED SHEET)
CONTRACTOR NA E MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
L
USE OF
BUILDING i
hn
Class of work: ❑ NEW ❑ DDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
FLU w HOC, 0
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
Me O 04. a
SPECIAL CONDITIONS:
BEDROOMS :DECKS CARPORT [; NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE L
NO. OF STORIES BASEMENT L]
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE [IDETACHED
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 that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
. k.
SEASONAL ❑ FLOODPLAIN L]
Firm
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. �3 f
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
o �f t e Mason County ordinance requirements for BUILDING DEPT. 3
I this permit is issued and that all work done will ROAD ACCESS
be conf ance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. Z BY >
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH