HomeMy WebLinkAboutBLD91-28508 MOBILE - BLD Permit / Conditions - 7/8/1991 Shorelines: Plunbing:
Setback: Mechanica
Special Interior:
Conditions:
FINAL: I,�. ,��,�
Mobile ome:
Smoke Detector: y<,
Remarks:
Footing: ,,
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Setback:
Foundation
Fr aping:
Fireplace:
Wood Stove:
TYPE Mobile Home
Permit No 28508 No. Floors 1 Sq Ftg
Owner Pam enniQ Tel Date 7/8/91
Address Dear rn Shelton Zip
Contractor e ip
Address
Legal Description Da ton TraiI'llls Lot D SP 2050
Direction to project site From Shelton drive Id on LwL 101
past airport. Turn L on Dayton Airport Rd drive 3 mi
to Da ton Trails on ri ht. u to of hill--left
un ingx ec amica x ewer Wo Stove Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATEISSUED►
PERMIT NO. t1 -
OWNER NAME MAILADDRESS CITY STATE ZIP PHONE
\ � U5 -Zb- �
DIRECTIONS ( ,
TO JOB SITE 0 �W /o f;t r\ugh LQ or ,
PARCEL LEGAL � JCl�Li1-
NUMBER —� —Q (() DESCR.
CONTRACTOR NAM MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING *-'s Oct D 7S 14 IcooPyl
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK �e-i
BEDROOM DECKS O CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOM TOTALSQ.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
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y AD SPFROVENo DEPARTMENT YES No
BUILDING VALUATION -�,
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK /
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
V WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEpt BY PLANS CHECK BY APPRO D F ISSUA E PERMIT VALIDATION
-', Y CASH CK MO TOTAL
S. Cordon Craig
-- the
M IS0.17 Gounty
V
assessoT-
Des c �
Lie have recently received a copy of tax certificate for mobile home
move-.cnc on your mobile howm.
Ire order that we may accurately value you mobile home, please compiece
the questions below and return this focm to our office by
Ic is imperative that this information be provided to prevent a
possible double assessment.
Hi' z= HOME DATA LEM= WM=
tlD1 EL.
bCa7CE , ,. t"1 k-,;,�cx__ two=
!!Ot 3M_- 8O?!lE LL1GlTZ021 BiPVHxsAT2c7x SEYIAL #A
A_ Hy privaee Ly owned Land. MM �X !!O
rF
S_ If rented or leased Lind who free: ; ffAtm
ADDRESS Cl= & STATE
C- RaaL Property Parcel j (cax sutesent #)
D_ Hailing mama and address for owner of mobile home
E- LocaCion address of Roblle home CITY
tv
r. Dace mobile home vas placed on present site
C. Purchase Price
DATE: ��� ����0 �� C SIC.`amf:\C(, A
TYPE 08 PEINT NAME L) 1 ��� i U f
TELEPHONE N1 HMI(?.CY, l2 is
CJurrmcuse Shelton,Wasnington9&U4 Phone 427-9670