HomeMy WebLinkAboutBLD19691 Mobile Home - BLD Permit / Conditions - 12/17/1986 TYPE MOBILE HOME
Permit No. 19691 No. Floors 1 Sq Ftg 960
Owner KRATCHA, Walt Tel< 426-0510 Date 12-17-86
Address W 800A Golden Pheasant Rd Sheltogip
Contractor None
Address Zip
Legal Description Por w-1/2,NW,Sw,sw 15-20-4
Direction to project site
W 311 Carman R7 No.
Plumbing Me-chanical, Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1986 24x40 2 bdrm
------------
Shorelines: iij Plumbing:
Setback: Mechanic
Special Interior:
Conditions: -- - FINAL: // �- 7 k7 "
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
J
BUILDING PERMIT APPLICATION
MASON COUNTY
4a015 - 33 -- U00tD DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED/ /J.<�
PERMIT NO. I VI-' 9—Z
,N ME yt,�IL DDRE�sS �.s� STATE ZIP PHONE
OWNER - �fJoiY-. �i r ��sea,.1/ l —
G S/
DIRECTIONS �'_3�/ �1[cz%ram �•
TO JOB SITE
LEGAL
DESCR. JC Cam/ r /5� iJG�� 7` �L(� ��J�- c�f�• ��
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALT N REPAIR MOVE REMOVE
WORK
WORK DESCRIBE % �� / l 'Ile I'Y7
BEDROOMS 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
OWNERSAFFI AVIT 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 AW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENT 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 CONFOR NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
r _
X WN ATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH ll� PUBLIC WORKS FEE
PLANNING I�rl,�. FIRE BUILDING PERMIT
D.O.T. BUILDING l PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP — PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHEgK BY APPROVED�FOOR ISSUANCE PERMIT VALIDATION
TOTAL
BY �Cr CASH CK MO
/ /7