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HomeMy WebLinkAboutBLD91-29709 mobile - BLD Permit / Conditions - 11/21/1991 Plumbing: Shorelines: Mechanical: Setback: Interior: Special Final:__ Conditions: Mobile Home:_______ Smoke Detector: Remarks: Footing: 7i9hrf� �� � Co Setback: f �A�, Foundation Walls: yvo a4`ti ci9 � d�Z Framing: Fireplace: Woodstove: AREA: �R _ 3 TYPE: MOBILE HOME Owner: RUSTS, VILIS E. Tel: 364-7221 Date: 12-13-91 8 33I Address: 1122 N 115TH S i APT B 316, SEATTLE 9 Permit #: 29709 Floors 9 -� Contractor: SELF Phone: VILLAGE LOT 79 Legal Description: LATVIAN Direction to job site: DAYTON AIRPORT RD TO KURSA RD R7 ON ZARU IELLA, FIRS 1 HOUSE IN CUL-DE-SAC Mechanical Woodstov Plumbing Garage Fireplace Deck Loft Carport Basement m t� �{ l©q ro 0I W Conditions: JJofV P i IZ-4Z w,�eo c �- lKk In 14N- g / Ma BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 L 427-9670 DATE ISSUED PERMIT NO. OWNER NAME r AILADDRESS C &STATE ZIP PHONEC-9— ,,6 DIRECTIONS /f TO JOB SITEPARCEL r NUMBER 7�C 8 ! DESCR LEGAL] ©k9f�/ �4� - r `�l Z,9/ NAM MAIy ADDRESS CITY&STATE 21P LICENSE NO. CONTRACTOR �Lt ���' S L/ca 1� 2 Cam c +—� 5�3 2�r USE OF --/-Zl�d� '�� 7 BUILDING / CLASS OF NEW ADDITION ALTERATION REP IR MOVE REMOVE WORK ✓ DESCRIBE WORK AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.d THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WI IN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED❑DETACHED❑ 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 OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. i / l r X OWNER `��!5 {� DATE AC4 X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENo BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP 1 PRE-INSPECTION SHORELINE WOODSTOVE c PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY �Z '� CASH CK MO TOTAL