HomeMy WebLinkAboutBLD26003 Mobile Home - BLD Permit / Conditions - 6/22/1990 Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
oot ing: 44 ."g k 42 41"
Setback:
Foundation
Walls:
Framing:
Fireplace: PERMIT
AT
Wood Stove: L, & 4
DATE BY
TYPE MOBILE HOME
Permit No. 26003 No. Floors 1 Sq Ftg 1440
Owner BUKOSKEY, WINNrFRED M. Tel Date 6-22-90
Address E 101 Lansk_y Rd Shelton Zip 98584
Contractor none
Address Zip
Legal Description Grenadier Park TR 14
Direction to project site 'Harstene Island so end turn R
at road oast Fire Station 3/4 block then left on
driveway
Plumbing Mechanical ewer Wood Stove
Fireplace Deck image import
Basement Loft Other_
DO NOT FINAL WITHOUT SERIAL NUMBER FROM MOBILE HOME
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /` //,,��,,�
PERMIT NO.d [ 66
NAME MAIL ADDRESS CITY d STATE ZIP PHONEdl
OWNER 1IV O o.cv Z& fS
DIRECTIONS
TO JOB SITE /,� �U /N� �!J /
PARCEL LEGAL ���,�� �� /
NUMBER �1�' ' 3-; CG;.2O DESCR.
NAM5 MAILADDRESS CITY 8 STATE LICENSE NO. ZIP FrHONE
CONTRACTOR
USE OF )
BUILDING ,l'1 C,K�� +Llz�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE [REMO�VE �
WORK ✓
DESCRIBE
WORK L�. aTI. 41t
D OOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.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
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
K
G APPROVAL FROM THE BUIILDINGDEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
E XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION `j, Gb
HEALTH PUBLIC WORKS / FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP ' ' PRE.INSPECTION
r SHORELINE
WOODSTOVE
67 _., PLUMBING
G O MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY PPROV D FO SSUANCE PERMIT VALIDATION TOTAL
__2-Zrcr� BY CASH CK MO