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HomeMy WebLinkAboutBLD24423 Mobile Home - BLD Permit / Conditions - 9/13/1989 Shorelines: Plumbing: Setback: Mechanica Special Interior: Conditions: FINAL: ��1 ,FyyNlobile ome: Smoke Detector: _ , Remarks: oot ing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: - TYPE MOBILE HOME Permit No. 24423 No. Floors Sq Ftg 448 Owner SIMMONS, H.E. Te1491 -1007 Date 9-13-89 Address t ac SE—Lacey 7,ip Contractor None Zip Address Legal Description S 145' , 1. 738' G.L.1 12-20-2 Direction to project site ATTACHED pan ing c anica ewerStove Fireplace Deck arage arport Basement —Loft —ether 1989 1432 1 3 - BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 ^� DATE ISSUED _ Sfw , AO_4s L • � . / _ _ /, PERMITNO. r��� OWNER NAME l\1 MAILADDRESS ! CITVUB STATE ZIP P {` S e P-211 LILAC 5-r: S , E hlgc�Y �1 55o I ONS /� I ("I,rpJ�SITE 1�AP�S`r► t(rc $. '-- CaL , kJ�Z F RoA� — SCE !r-Fr1 GH€ D LEGALr to SEE ATTACHED S EET) S145 aF N `7381 aF CaV , t0T1 SEC 12 7rWt4. Zo N . IZ2 \d. Wkl NA AIL ADDRESCTOR G -- ' Y•r-" Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE II of [zEvW i X 12 Describe work:S,ET FoRIAS FOR ('© r(C , -1'0 7Sc3NPOftT 1 $ 2t':r 3 ' T�oSTs �oR TEMPC>FOIC 0-ritN1 FoC� tcntPor� Ric toGArro fio� t r�C 32F Con ( PL�`fCb >3Jr�P+uc3 AS A T=AC-ram Y -- 10ft-T l-fc3 %3 N � � FJ � r-. ,gLSo >�=AcNEA Valuation of work: S QO PLAN CHECK FEE PEF MIT FEE n s of SPECIAL CONDITIONS: p /, Xssu�•QI ., �4/ ` /� !J• �CJ BEDROOMS (DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SD. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBItyG, HEATING, VENTILATING NO. OF STO S BASEMENT G OR AIR CONDITIONING, TOTAL SO. FIREPLACE 17 DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,ORIFC INSTRUCTION ORWORKIS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER jth lfy that I am a Currently registered contractor in WORK IS COMMENCED, State of Washntsre and th aware of theFOR OFFICE US ONLY ance requirements regulating the work for whichermit is issued and all work done will be in rmance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN IJ Firm E.D. NO. S.E.P.A. CJ By Special Approvals IN OUT YES APPROVED NO Lic. No. Dafe ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL c� contract or registration law RCW 18.27, and am aware BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS /Jy�b/-9�1R./,conform a therewith. MOTOR VEHICLE PERMIT Ownr'I' r APPLICATION ACCEPTED BY PLANS BY �FORD'3t•d-J Date L/ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH O ' J • , a • • • • • • • - VR- a ■■■■■■■■■m■■■■■■■■■■■■■■■I■■■ ■■■■■■■►., ���o■■■■■■■■■■■■■■■I■■■ m ■■■■■■■■I■■■ ■■■■ ,RUMM■■■■■MGR\\■M■■■■■I■■■ mmommucommmosammammummmmmimmm misi■■a■■/riilJfiomm ■o■■■■■■I■■■ /.O■■■■LE29MOMMEr■t1■■■■■■I0■■ ■■mm■■■a■■■m■©■om■■■■■■■■I■■■ ■■■■■■■■■►��Ir��■■�■tea---���,�_� JIM ■■■■s■■■■■■■asp■®■■■■■■■■■i■■■ u .•