HomeMy WebLinkAboutBLD0162 Final Mobile - BLD Permit / Conditions - 5/22/1984 FAFORD, Dennis #0162
5-15-84
NW corner 30-23-2
NE 1761 Tahuya Blacksmith Rd.
Tahuya, Wash 98588 275-5622
Go to Haven Lk. West on Haven Lk Rd. North on Tahuya-
Blacksmith approx. 1/2 mi. Left on dirt road (Forest
Access) approx 500-700 ft on right (Lot 3)
Contractor
Self
Mobile 1984 28x66
$32,560.00
Shorelines :
Setback:
Special Conditions :
Footing:
Setback:
Foundation Walls:
Framinq:
Fireplace•
Wood Stove•
Plumbing:
Mechanical •
Root :
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 5 ��
PERMIT NO. �G 2—
OWNER ME MAIL ADDRESSE
CITY&STAT 21P � PHONE
I T
DIRECTIONS 1 (� 1
TO JOB SITE VE)a /1 W + or+ V�^ ofS t;B 3D too t nacii-, tog
LEGAL SEE ATTACHED SHEET)
DESC /4 O 6r, / Acrts /t ,CiC
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF Lo i
BUILDING lY
Class of work: 3'NEW E14DDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
t
Describe work:
Al Qz a ► l -t-o 5�'-f
Valuation of work: $ PLAN CHECK FEE PERMIT FEE g
SPECIAL CONDl ,
BE OOMS DECKS CARPORT [ i NOTICE
BA ROOMS TOTAL SO. FT. GARAGE I i
NO. RIES BASEMENT G
ATTACHED I 1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ] DETACHED II
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 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 1 FLOODPLAIN i;
Firm
E.D. NO. S.E.P.A. I I
Byt Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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. /3 .��
which this permit is issued and that all work done will ROAD ACCESS
be in conformance th/errewit , f MOTOR VEHICLE PERMIT
Owner— �T t Date APPLICATION ACCEPTED BY N Y`l IECK BY APPROVED F ISSUANCE
V CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH