HomeMy WebLinkAboutBLD26406 Porch and Roof Over Mobile - BLD Permit / Conditions - 8/9/1990 Shorelines:
Setback: Plimbing:
Special Mechanics :
Conditions: Interior:
FINAL:
Mob i le
Smoke Detector: I
Remarks:
Setback:---- �-- -'w
Foundation
Walls: --
Framing:
Fireplace:
Wood Stove:
4
t
Tom; ----- __-- '
� Efl MOBILE
Permit �
• 26406 No. Floors
Owner TVETEfJ; - Sq Ft
Address Tel -nO5 Da e 7-Sr-
,Y1
or se9Contract ePo -7 acoa Zips
Address h
ecsto 1pLegal scrip r res n roio—n
o p Direction t
2
o Nest on or ore ri ee
for 1 Wile out of Tahu a on PJorth si e o ort ore r
at 16540 fdorth Shore ,Dr Tahu a
um ing c anica
Fireplace Deck
V®lET �'Y�AL_
Basement .oft _ _ s
►TE- BY
396 living area/912 roof over mobile
I
I
I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER �N r Tlj a1tc V/ Ivo02 rja,poif ujy S #17 com/4 WAM,7q 580- 30DIRECT5
ONS
TO JOB SITE (Tp (aj,esl� c e drilve
on -the 14op f h Sd-e &P Flo f of 165Yo Aloe-4 skokedr, 7-'hmeex
PARCEL LEGAL
� �hPR� Nd �a Groh 9t�ac S
NUMBER C> , C) O� DESCR. j Q 13 todl
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �,yY '7 �•y loodt
USE 6r�d/_>!
r, 0 o y-C4 opt h a m E' .
BUILDING C 105 d `�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ / / ./
WORKIBE �Mf Cc�l C�OSZ'G� 1�1 01-cvl 0q 1d °P wwG11LO ko WIY 0 RA 6U(lGP
G o ttit N4 r q&440 gtrtclosedo . J"l
CARPORT NOTICE
BEDROOMS DECKS Y OR N TOTAL SQ.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT ✓ FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNER AFFIDAVIT
CONTRACTORS AFFIDAVIT
CERT THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
I IS
ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REGREQUI 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
IN C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CON O AL RMANCEFRO THE BUILDING CHANGESNO A SHALL BE MADE WITHOUT FIRST OBTAINING
APPT.
OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. 7 q
X WNE �I DATE VVI�/ 29z !/ XBY DATE
APPROVED FOR OFFICE U S E O N LY APPROVED BUILDING VALUATION
DEPARTMENT YES NO DEPARTMENT YES No
FEE
HEALTH
PUBLIC WORKS
PLANNING
FIRE BUILDING PERMIT Z
D.O.T.
BUILDING PLAN CHECK �Z f
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
ALL zT MEET PLUMBING
OR EXCEED LOCAL CODES. IF
L THIS L` MECHANICAL
OFFICE BEFORE CONSTRUCTI
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK SY E O SSUANCE PERMIT VALIDATION
4� TOTAL 1
— BY CASH CK MO
•
��n
■■■■■■��■■r/�� Zi■I■■■■■■■■■■■
■wM■■E0"1E►�BLONYRPME!son■.7ffimmm■
ml-luff-rdOEM
..�,■■I�� %� �■I■■■■■■■■■■■
MEN■■PARES' Mom'■■■■I■■■■■■■■■■■
S. Gordon Craig
the
IL mason county
assessor
Dear
We have recently received a copy of tax certificate for mobile home
movement on your mobile home.
In order that we may accurately value you mobile home, please complete
the questions below and return this form to our office by
It is imperative that this information be provided to prevent a
possible double assessment.
MOBILE HOME DATA LENCH 410 WIDTH eZ
MODEL
MAKE MODEL �� YEAR /TZ3.
MOBILE HOME LOCATION INFORMATION SERIAL I Q (A> q00 y
A. My privately owned land. YES _ NO
B. If rented or leased land who from? NAME
ADDRESS Rf CITY & STATE 7/- t i,y�g /0,4
C. Real Property Parcel # (.tax statement
D. Mailing name and address for+ owner of mobile home
NAME �G h/C� �c�. ��P�T P./mil
ADDRESS 100 d CCIITY& STATE�f a2 912
E. Location address of mobile home -}- CITY_
3
F. Date mobile home was placed on present site
C. Purchase Pricey/
DATE: -� � SIGNATURE
TYPE OR PRINT NAME,6!'fj! gtR eVC.
yea /QDAO34�yA TELEPHONE NUMBER 3aS'
a
Courthouse Shelton,Washington 98584 Phone 427-9670
I
a
d �L W WJa_
_ - f
t
II � ittir • F _
�Ull - 1►t �
1 `r •
� w
�. - -