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HomeMy WebLinkAboutBLD30196 Mobile Home - BLD Permit / Conditions - 4/6/1992 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: Final: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Woodstove: AREA: #1 - FAWVER TYPE: MOBILE HOME Owner: COLLINGWOOD, H'EAT el:LE, WA1 19 Date: 04-06-92 • TT Address. 20220 3RD STREET, Ft 98 Permit #: 30196 Floors: 1 Sq . 840 Contractor: Phone: Legal Description: SHORECREST TERR DIV 2 BLK 2 LOT 33 Direction to job site: HW�ONA�W PLDACE 3RD LOT N O CRESTVIEEW LEFT ON PARKWAY LEFT Woodstove Plumbing Mechanical Deck Garage Fireplace Loft Carport Basement Conditions: NONE BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED 4 A 00 _q� PERMIT NO. JDI40 N ME MAIL ADDRESS ^ CITY STA�e ZIP PHONE OWNER J ")Dec ^�_lY `by Y DIRECTIONS TO JOB SITE Z24�) y, ft— J'�ill V p G'h PARCEL LEGAL] / � 7 NUMBER . r�cS� 6 DESCR NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR USE OF �, ) BUILDING CLASS OF NEW ADDITION 7ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE f WORK lzZr �/7L`� f X AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS SgFt BATHROOMS SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED❑DETACHED❑ OWNERS AFFIDAVIT 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 TNINGWN ({,�I APP VAL FROM THE BUILDI�NGD F PA RTM E N T APPROVAL FROM THE BUILDING DEPARTMENT. ems' DATE 41131& X BY-. _— _ __—_____—_—DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION y YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING k;i FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION xS 3 '3V SHORELINE WOODSTOVE PLUMBING MECHANICAL AF STATE BUILDING FEE f� , APPLI TION ACCEPTED [PLANS CHECK BY APP ED ISSUVN PERMIT VALIDATION q 17 �' r�� BY CASH CK MO TOTAL 7r, BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DAT= iSSUEO PERMIT NO. M AiLAOORESS 1t 3STATE ZIP PHONE OWNER Vlld_� Jr OIREOTIONS I To jOS 317E Al, 1162j _ — zf�ALL 7 PARCEL LEGAL NUMBER 3�a s5 0z©33 DE3CP r11 1L '� �lQd= of Jc3 Indicate below: O Proper'y lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. �O Septic tank and drainfield setback distances from foundations. b Location of proposed construction on property. b Buildirg & septic system setback distances from all property lines & easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams, wetlands, drainage. In Circle O Attach copy of septic system "as built" or septic permit-approval. O Indicate topography profile of property and structure on reverse side. 17 ( I I 1 1 1I I 1 I I I 1 1 111 i I I ! I I I I 11 l I I i i 121, 3_0�e I I I I I I IZ 1 Il,"Ile Cer'f I na' w:t _on`Jrm t0 the d:r-ieas,ons an('uses sown abo-e es'Mill Oe-'ade'witMcuI;hrs'Jb13ir:i;1C9 3:)CrJ11al. TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE i II I I I I I i i 'I i I II i III II I )