HomeMy WebLinkAboutBLD13632 Final Mobile Home - BLD Permit / Conditions - 3/11/1983 Gunderson, Ronald #13632
i
275-4570 2/24/83
Collins Lake #3, Lot 75
1.5 blocks from fire Hall, NE 41 Mt. View Place, Tahuy
Mobile Home Contractor:
60'xl4' 1973 None Listed
4'xl2' Expando
$11,100.00 REPLACEMENT
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:-
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: 3h,
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. / J`—
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
IRECTIOTDO JOB SrITE ` / X. 6 1 s f-/l�� I--, r f / 4 L L
o�l. � N � � � Ke .va 3 �o ?` 7S
LEGAL 1 (❑ SEE ATTACHED SHEET)
DESCR. f�0 r 7 S C v,4/M1-S 4 A k P W
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING : rivC C
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: I ` .v '7 Q &0'
rTl fV i �v � / x
Valuation of work: $ O PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: V •
BEDROOMS_ I DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE U
ATTACHED !J SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIESBASEMENT EI OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE iJ DETACHED Li
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 F O 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 i
ql
SEASONAL [, FLOODPLAIN i
Firm E.D. NO. S.E.P.A. [-7
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT EALTH DEPT. 4,56`,5- AAv 1
PUBLIC W RKS
I certify that I am exempt from the requirements of the FIRE MARSH
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEP
which this permit is issued and that all work done will CCESS
be in conformance therewith. _ MOTOR VEHICLE PERMIT
��� ICATION A PTEB BY PLANS HECK BY APPROV OR ISSUANCE
Owner Date . oZ /
Ple
CHECK VALIDATION CK. M.O. CASH TDERMIT VALIDATION K. M.O. CASH