HomeMy WebLinkAboutBLD21692 Mobile Home - BLD Permit / Conditions - 3/21/1988 i
Shorelines: Plumbing:
Setback: lbchanical:
Special Interior:
Conditions: FINAL:
NbbileRime:
Smoke Detector:
FootiRemarks:
Setback:
I
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Fiermit No. 21692 No. Floors Sq Ftg 1960
Owner RADA Jeanette TLn1 427-0919 Date
Address 3-21-88
W 8020 Shelton Matlock Rd SheltonZip
Contractor Sun Mobile Homes
Address Olympia Zip
Legal Description Tr_2 NW 18-20-4 (Tr /P s7)
Direction to project site 1/2 miles past Dayton Store on
right.
Plumbing Nbc ical Sewer Wo Stove
Fireplace Deck Garage Carport
Basement Loft Other
1988 28x70 3 bdrm
r
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE153- '2/
PERMIT NO. C::>? l to
OWNER NAME fie MAILADD�RIESSSS �, CITY&STATE IP C - PHONE
b�-n -
DIRECTIONS
TO JOB SITE
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PARCEL LEGAL _
NUMBER p7� � � DESCR. '
NAME .MAILADDRES CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK U3
BEDROOMS DECKS CARPORT NOTICE /C?.1,0 AV
1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
�( COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED (` ABANDONED FORA PERIOD OF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT X SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN C NFORMCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT FOR
FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
JNCE�i ATE ��l 5 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING , PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP 3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
J '
BY 4' CASH CK MO TOTAL
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