HomeMy WebLinkAboutBLD6985 Travel Trailer - BLD Permit / Conditions - 7/28/1980 Hedrick, W. E. #6985
• 7-28-80
Collins Lake 3 - Tract 6
(ravel Trailer (8X22)
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED
PERMIT NO.
OWNER NA MAIL A RES CI &S ATE ZIP PHONE_
DIRECTIO
TO JOB SITEItz C+
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
tSE
RACTOR
OF
ING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
J C/
Valuation of work: $ _ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE L
ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I_I OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE I I DETACHED [I
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 O N LYE
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
Firm SEASONAL L] FLOODPLAIN !J
E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I ertify that I am exempt from the requirements of the FIRE MARSHAL
ontract 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 II w k done will OA ACCESS
be in conforman th r wi MOT R VE PERMIT
AP CATION EPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
caner Date Y.
4 �' , BY
�N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH