HomeMy WebLinkAboutBLD20325 Mobile Home #58 - BLD Permit / Conditions - 6/1/1987 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
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Foundation
Walls:
Framing:
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TYPE MOBILE HOME
Permit No. 20325 No. Floors Sq Ftg 1120
Owner ANDERS, Earl W. Tel Date 6-1-87
Address E 1700 Shelton Springs Shelton Zip
Contractor Detrays
Address Olympia Zip
Legal Description 1-20-4 SW,SW,SW
Direction -to project site Hidden Haven Space #58
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Zarage —port
Basement —Loft —Other
1985 28x40 3 bdrm
r
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 D
DATE ISSUE
PERMIT NO.�C
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER v� i� . CC �•��A < <'
DIRECTIONS '
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR. �a U - 4 s y 0 y - v iv
NAME MAILADDRESS CITY&STATE LICE SE NO, Z PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
o
WORK I ZLIC 1,r6 e/y7 tt- -
BEDROOMS L� DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS r' TOTALSQ.FT. GARAGE f CONDITIONING.
NO.OF STORIES r BASEMENT L 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
OWNERSAFFIDAVIT 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.
X OWNq /+ �� l� DATE �� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO ` �(
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 71 <`
D.O.T. BUILDING j PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL BY / CASH CK MO /7' 7