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HomeMy WebLinkAboutBLD26896 Mobile Home - BLD Permit / Conditions - 10/11/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 (DATE ISSUED PERMIT 40. NAME MAILADORESS CITY&STATE j ZIP PHONE OWNER pi o _p DIRECTIONS TO JOB SITE -LEGAL I y q PARCEL 141 24 00010 ESCR. � � 9. S.L� % .� p b NUMBER NAME MAILADDRESS ITYHSTATE LICENSENQ P P ONE CONTRACTOR USEOF {�es�dense BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE ,Ai ' �j. WORK lfm of R /p movt BEDROOMS :X DECKS ®R N CARPORT N NOTICE TOTAL SO.FT. DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING VENTILATING OR AIR BATHROOMS TOTAL SO.FT- TOTAL SO.FT. N CONDITIONING. NO.OF STORIES BASEMENT YORO THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONS rRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. Rq6 TOTAL$O.FT. CHECKONE ABANDONED FOR A PERIODOF 180 DAYSATANYTIMEAFT1 R WORK IS COMMENCED. PERMANENT FIREPLACE N� ATTACHED SEASONAL SHORELINE VA:.-- DETACHED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I C TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CO TRACTOR IN THE STATE OF REG TRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND i AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE RE IREMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BEM DE WITHOUT FIRST OBTAINING OB INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.: I X OWNER TE j� XBY DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVED NO DEPARTMENT YESEAPPROVEDIO BUILDING VALUATION i J HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP (3 L= - PRE INSPECTION SHORELINE WOODSTOVE ALL CONSTRUCTION MUST PLUMBING OR EXCEED LOCAL CODES. IF ANY rQUESTIONS PLEASE CALL THI MECHANICAL nFFICE BEFORE CONSTRUCTION. STATE BUILDING FEE STATESURCHARGE CCEPTED BY PLANS CHECK BY APPR(1 FORT ANCE PERMITVALIDATION TOTAL 9 `� _® -- .D BY \ CASH CK MO " n © - a. ........aTvr.�rS III■■■iiii■■■■■fit■■!_!1/I■■■■'/■■Il1■■! III■■■■■■■■■sE9mPRO!■*011i■■in W.a 0,01■■ III■■■■■■■!�■■■■■■■!1.�1i:i�■il�i■�'i11i■■ III■■■■■■■;i■■■■■®■■G■/%■■■I■■■ ■■■■■■■ ■■■Vella■■r■i■■■■■■�I�i■ ■■■■■■�ll��ri■■I■■■i'■■■■■■■■■■ilk■■ ■■■■■■■�■■■■■■■■■■■■■■■■■Ili::■ ii■iiii■■■■■■■■■■■■■■■■■■■il�iil