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BLD21157 Mobile Home Space 32 - BLD Inspections - 11/4/1987
Shorelines: 11h Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: e-r&— i3 8 Mobile Smoke Detector: Doting: Remarks: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 2115.7 No. Floors Sq Ftg 1152 Owner WOOLFOLK, Jack T Tel 884-4456 Date 11-4-87 Address P 0_Box 382 Vaughn Zip Contractor Charlies Address of m is -zip Legal Description Town of Allyn Direction to project site Sherwood Hill R.V. Park " S ace 32 Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 1987 24x48 2 bdrm 1 . ■rrrrrrrrrrrrrrrrrrrrrrrrrS■ rrrrrrrrrrrrrlrrrrrrrrrrrrrrr ■rrrrrrrrrrrrrrrrrrrrrrlrrrr■ NONE rONE rrrrrrr■[A1lrlrwiim'*isr■ ■rrrrMSEirrrll ti R/r n'►,a1:1Z''iY►i1►f%1i■ MEMO rrrrr�■iMrlmr�rr�rrrrirrM ■rrrrrrlrr*!ra w fiffi�, L, rrrrrlrr�onsui,rrnrr�N mmmer�MrrO r■rrrrrir�rO iZIiii�;'.1C' ► rr rrrrrlrlr■r�rrrro�rrrrrrrrmrr■ rrrrrOrlrlipIrwii�IRESDA T' 'iltii/[t%i�r■ r■■III ©rlrl �r�r�.l�rrl�rlrrrrrrrr■ err�M�rlI mmmrllm mT rrrrrrrr■ NEON rlrrrlrr�wlrMoomro■ rrr®rrrl ■rrrlrrrrrrr �:rr��rMrr■ ■rrrrrrl rrrrrrrrrrrrrr■ ■■■rrrrlrrrrr rrrrmr;I��m�r mom r■ ■■mom ialrrrrr rriiNLI�Iiirrrrr■ ■rrrrr NONE rrrrii/rrNrrrrrrr■ MEMO rrMom rrrrrrrr mom rrrrrrr■ OMEN rrrrrriir mom rrrrrrrrrrr■ BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 7 427-9670 DATE ISSUED PERMIT NO.5.-.;21 NAME MAILADDRESS CITY&STATE V A 14 4h h ZIP C14 PHONE OWNER QK. `r' LOW L FOLD 0. Go)( SM V*b+W WA- grb�. atq ggscv DIRECTIONS TO JOB SITE SWeWDOID kAlLLS R,0, t IAm&l- A4 —L 3 U PARCEL LEGAL NUMBE DESCR. Q �W4b��,!52Z&,Q AN��E i MAILADDRESS CITY&ST TE LICENSE NO. ZIP PHONE CONTRACTOR rQ��/�'S USE OF BUILDING 0. CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK /V7 2. X q8' d BEDROOMS 2 DECKS I CARPORT Y� NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING. NO.OF STORIES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT f 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_YC_S SHORELINE SEASONAL qNNFORMANCE RS AFFIDAVIT CONTRACTORS AFFIDAVIT FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND HI AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE EMENTS 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 THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. -. ./ ' DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT Y SPPROVED�O DEPARTMENT YEAPPROVEDIO BUILDING VALUATION312. HEALTH PUBLIC WORKS FEE PLANNING Piz c FIRE BUILDING PERMIT D.O.T. BUILDING k PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION r n SHORELINE i WOODSTOVE PLUMBING MECHANICAL ` `—"� STATE BUILDING FEE ! n 3.� STATESURCHARGE APPLICATION ACCEPTED BY I PLANS CHECK BY FOR I ERMIT VALIDATION TOTAL -79, BY ASH CK MO