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HomeMy WebLinkAboutBLD21432 Mobile Home - BLD Permit / Conditions - 1/22/1988 Shorelines- _ Plumbing: Setback: Mechanical : Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 21432 No. Floors Sq Ftg 1792 Owner HARTSELL, Donald Te1427-9352 Date 1-22-88 Address 137 Delaware Shelton Zip Contractor American Mobile Homes Address Lacey Zip Legal Description 1-20-4 S543.65' ,E-1 /2,,w,.qw Direction to project site Evergreen Mobile Estates I Plumbing c anlca ewer Wood Stov-e Fireplace Deck Garage Carport Basement Loft Other 1984 28x64 4 bdrm - ----------- ----- ------ - -- �-?ov/'3d•ovo fib BUILDING PERMIT APPLICATION 2 MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT N � OWNER NAME MAIL ADDRESS- CITY&STATE PHONE DIRECTIONS TO JOB SITE PARCEL LEGAL�3 ©�©,C,�O N U M B E R ya DESCR. a?d NAME MAI DDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR f/ys USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOV REMOVE WORK r DESCRIBE WORK qsq 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.A V FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATI LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM TS 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 CON F MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FR M THE BUILDING DEPAR NT. APPROVAL FROM THE BUILDING DEPARTMENT. *XEW-Ae-�E � X BY DATE FOR OFFICE USE ONLY VARTMENT YSPPROVENO DEPARTMENT YEAPPROVED1OBUILDING VALUATION i5a, Q6 YE HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING IVV rPLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION OI• IS" bfjWpejj MIS SHORELINE m,010(I a WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPRO SSUANCE PERMIT VALIDATION TOTAL IBY ��' CASH CK MO