HomeMy WebLinkAboutBLD0066 Mobile Home - BLD Permit / Conditions - 12/27/1988 I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE IS UED/2 L�
PERMIT 140. O 6
j
OWNER NAME MA IL ADDRESS CITY&STATE ZIP PHONE_
hlie,h el T ?RRXelL 79 -10 EF
DIRECTIONS '/
TO JOB SITE /G / G F/il lG' /� -15roeil
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a,KGP GfJ .KC
PARCEL LEGAL
NUMBER1 DESCR.1 r-,f Z.
NAME MAILADDRFSS CITY d STATE LICENSE NO. ZIP PHONE
CONTRACTOR E a2et 0 V/ nn 5 vice Q�
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE .�
WORK pU S e� l` Lp
01 X
197q aerx & /K� AWnZ2 1a,5-6
BEDROOMS 7 DECKS CARPORT_44& NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HE TING, VENTILATING OR AIR
BATHROOMS TbTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSI RUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION R WORK IS SUSPENDED OR
TOTAL SQ.F i9 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTE I WORK IS COMMENCED.
PERMANENT SHORELINE l
SEASONAL
OWNERSAFFI AVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REO IREMENTS REGULATING THE
REQUIREMENT OR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND AL WORK DONE WILL BE IN
IN CONFORM CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MA E WITHOUT FIRST OBTAINING
OBTAINING AP ROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNE DATE _{Z-�^ $7 XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y APPROVE IES NO
DEPARTMENT YEAPPROVE NO BUILDING VALUATION 21160.696
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING G(/K PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP -13 PRE-INSPECTION 401,W
j ro SHORELINE �5
IF d i _ _ x WOODSTOVE
AeEllw
PLUMBING
MECHANICAL
STATE BUILDING FEE 1 �6
STATE SURCHARGE
'PLICATION ACCEPTED BY PLAN$,CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
(f/04' � CASH CK MO TOTAL
�.1�_ BY � /`1 �,
/ /e) 7J
PLOT PLAN
PERMIT NO.
LEGAL
DESCRIPTION ��
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SITE AREA SQ. Ft. AREA OF SITE OCCUPIED BY BUILDINGS-Sq.Ft.
INSTRUCTIONS TO APPLICANT
IS FORM NEED NOT BE USED WHEN PLOTDRAWN
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■■■■■I■■■■■■I'll■■■■■■■It■■■■1■■■
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Shorelines: Plumbing:
g'
Special Mechanics :
Conditions: Interior:
FINAL:t
Mobile Home:
Smoke Detector:
Footing: Remarks:
Setback:
Foundation
Walls:
Framing;
Fireplace:
Wood Stove.
TYPE 1JOBIM HOME
Permit No. 0066 No. Floors 1 Sq Ftg 11848
OwnerPAgKEg� chael J. Tel 275-6716 Date 12/27/88
Address NE2794 Old Belfair Hwy Belfa1 WA zip 9 5
Contractor Berret Moving,
Address Wliverdale Y]A zip
Legal Description p 11
Direction to project site mi out o Be
Belfair air on
Hwy log cabin-2 n rt eep rt on drjireTrair to
back
Plumbing Mechanical Sewer
Fireplace Deck Wood Stove
_ Garage Carport
Basement Loft Other