HomeMy WebLinkAboutBLD21155 Mobile Home Space 21 - BLD Permit / Conditions - 11/4/1987 r '
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Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace: P��a1�7 Nr�!✓tiy� �Y
Wood Stove: 6e,,T•U 4,77)•!-f-t/
TYPE MOBILE HOME
Permit No. 21155 No. Floors Sq Ftg 7l4
Owner CHESNUT, Ray E Tel Date 11-4-87
Address _3749 So 4th Ave # 0 6 Yuma, Ariz.Zip
Contractor None
Address Zip
Legal Description Town of Allyn Lot 91
Direction to project site Sherwood Hills R V Park
Space 21
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1987 14x51 1 bdrm
I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO<;�?,/
NAME �AT �� MAILADDRESS CITY&STATE ZIP PHONE
OWNER bELSi C 4 TM AVE 20(g AtiftM 47, '91; a
DIRECTIONS
TO JOB SITE SHt'QW Don 1 .Q • 942lK C
Co
PARCEL LEGAL _7
NUMBER p?v� Q V rr oAlPm
DESCR.
NAME MAILADDRESS CIYV&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNE AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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
CO FORMANCE TH EWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
BTAI ING APPROV IM THE BUILDIN DEPARTM NT. APPROVAL FROM THE BUILDING DEPARTMENT.
X NER DATES X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT YES NOBUILDING VALUATION
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 I PLANS CHECK BY APPROVED FOR I UANCE PERMIT VALIDATION
� TOTAL
BY CASH CK MO