HomeMy WebLinkAboutBLD26977 Mobile Home - BLD Permit / Conditions - 10/23/1990 I�
Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
oot 1ng: Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE _ -MOB TLE NGKE - -
Permit No. 2F977 No. Floors __I _ Sq Ftg R9h
Owner CNTMKny= -ir — Ai Tniv - Tel h97_r6Ra Date
Address 1 Rnn NF I i nrnl n Rri niil cho Zip
Contractor
Address Zip
Legal Descrip ion RPude, Cave di v r) 1 nt aF
Direction to project site SrhnnnAr 1 n
lit a 6
IIPlumbing Mec anica ewer Wood tove
Fireplace Deck =ar-age —Z port
Basement soft —ether
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I1
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
/ aw e, s 1 ' PERMITNO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER h k i it/p L a A fli-770V-H
DIRECTIONS / 1L `
TO JOB SITE G ��G �c -t GG lL"2 to ) /Y.
PARCEL LEGAL /,� IC)
NUMBER DESCR <' ea�� /
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR -� i
USE OF
BUILDING /L-
CLASS OF NEW C/ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. &0 GARAGE IV CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT �'� SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OWNER X BY DATE
FOR OFFICE USE ONLY 00 -
DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENo BUILDING VALUATION41 '
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT J
D.O.T. BUILDING jj/<< PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BYlU� fo-23'-fo CASH CK MO �,