HomeMy WebLinkAboutBLD27351 Final Mobile Home - BLD Permit / Conditions - 5/8/1991 Shorelines: Plumbing:
Setback: Mechanica .
Special Interior:
Conditions: FINAL: -
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Smoke Detector:
Remarks:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
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Permit No. 27351 No. Floors 1 Sq 1456Owner f100 , Te1748e 1=10-91
Address E 420 Lonesome Crk Rd Shelton Zip
Contractor Charlies Home Center
Address
Legal Description - - Zip
�a NEa S4J4
Direction to project site approx mi from Pioneer School
L at top of hill a mi dovin dirt rd on R side
P um ing Mechanical Sewer Woo Stove
Fireplace Deck =rage 7a—rport
Basement ---loft Other
Existing decks to be reworked to meet code.
Health Dept to sign off septic system prior to set up
inspection.
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 O
427-9670 DATE ISSUED
tq I-
PERMIT NO.
OWNER NAME MAI ADDRESS CITY&STATE ZIP PHO E'd1A 6
//
DIRECTIONS ,
TO JOB SITE
PARdEL LEGAL or
NUMBER - DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR O
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS_,'_ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS A- TOTAL SO.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE
FO OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES NO YES NO BUILDING VALUATION i
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 2-
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
G2Vr Alh^e WOODSTOVE
4 7 1u'T nC G arch PLUMBING
-�/� i✓S/d G''O/✓ 400 Ala /J!0// !N MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPFOVED R ISSUANCE I PERMIT VALIDATION
TOTAL
BY D CASH CK MO
NAVAHO
- •
DIRECTIONS
A 10A'
I