HomeMy WebLinkAboutBLD24353 Mobile Home - BLD Permit / Conditions - 10/17/1989 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Hcme:
Smoke Detector:
Remarks: �r Y
Doting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME 7✓ V, cz
Permit No. 24353 No. Floors Sq Feg 1848
Owner JENSON, Steven L Tel y72 - Date10-17-89
Address _W 181 Little Egypt Rd Shelton Zip
Contractor Better Homes Systems
Address Des Moines. Wash Zip
Legal Description Tr 4 S1.NW 17-20-4
Direction to project site Above address
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Z�age -7arport
Basement Loft Other
1990 28x66 3 bdrm
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 Q
427-9670 DATE ISSUED f1 7
l cd-30-%9 PERMIT NO. 0
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER e-y\ ¢lxS Y\. iA �a L; e- j• $
DIRECTIONS C-1 It
TO JOB SITE
PARCEL LEGAL
NUMBER q.?op_ C)m4 DESCR. yn
E MAIL A DRESS CITY&STA /_LICEN E O. VIP PFI6 a
CONTRACTOR �� C�7
USE OF
BUILDING
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
✓
DESCRIBE
WORK4 h Aka kI, 'I L:L wo ra-e--
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BEDROOMSy: DECKS 2_ CARPORT>)Q)�g� NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 9N TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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 ABANDONEDFORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE n
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANG SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE DING D R NT. -p Q
XO NER DATE XBY
FOR OFFICE USL ONLY 4 zA xvl�
DEPARTMENT YESPPROVEN PP ROVE
o DEPARTMENT YESNO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
S 4c- _&r�So n SHORELINE
�pd c� WOOD STOVE
u� PLUMBING
MECHANICAL
STATE BUILDING FEE :SQ
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION //a.a 5j
BY -7 CASH CK MO TOTAL �/
7�,v'tly� T.e,n 5 on
IT all T/
100
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