Loading...
HomeMy WebLinkAboutBLD19431 Mobile Home #404 - BLD Permit / Conditions - 11/17/1986 c^�, y� TYPE MOBILE HOME Permit No. 19431 No. Floors Sq Ftg 380 Owner LYON, Jim rrel 426-0951 Date 11-17-86 Address E 71 Payton Shelton Zip Contractor Address Zip Legal Description S 5 3. 5 , E-1 2,SW,SW 1-20-4 Direction to project Site Evergreen Mobile Home Estates PluTbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other lT6T— 10x3F— 1 bdrm Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: NULL & r DATE /-,f-fi- Ely BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME M IL DRESS CITY&STATE Z PHONE DIRECTIONS TO JOB SITE LEGAL DESCR. ���� ��'/ !J�/ G - �? S /•Y, NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING 0 1�( ve )� CLASS OF NEW AD LTERATION REPAIR MOVE X, REMOVE WORK ✓ DESCRIBE WORK BEDROOMS_ DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_ 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 SO.FT. © FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAJL OITI AFFIDAVIT CONTRACTORS AFFIDAVIT I THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REON LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE RENTS 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 INRMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OAPPROVAL FROM THE BUILDING DEPARTMENT. /� APPROVAL FROM THE BUILDING DEPARTMENT. X �� DATE jW 10 O X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES SPPROVENo DEPARTMENT YES NO BUILDING VALUATION QQ•Q HEALTH ,1'„_ PUBLICWORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE /7 ee) cla6 '7 rrr�i r� PLANNING L PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO TOTAL / �" L Q