HomeMy WebLinkAboutBLD20030 Mobile Home - BLD Permit / Conditions - 3/30/1987 TYPE MOBILE HOME
Permit No. 20030 No. Floors 1 Sq Ftg 1987
Owner INGLE, Anna Tel 898-2980 Date 3-30-87
Address E 9800 Hwy 106 Union Zip
Contractor None
Address Zip
Legal Description Plat of Merrimount Bl. 1 Tr. 1-A
Direction to project site Rainbow Girls Pots of Gold
PlLubing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1987 24x48 2 bdrm
Shorelines: c'" Plumbing:
Setback: C 161 Mechanical:
Special Interior:
Conditions: FINAL:C
MobileHome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 _
426-5593 DATE ISSUEDQ
0 O PERMIT NO. ��L��
NAME MAIL ADDRESS CITY&STATE ZIP HONE
OWNER
DIRECTIONS �7
TO JOB SITE 6 E
-
I t3/. I ��QT cs frr� Du.�T'
PARCEL ? LEGAL
NUMBER DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING .
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ i I
DESCRIBE %Q e �/77 � 7--
WORK 14P
/2,
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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
PERMANENT SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM NTS 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 CONF RMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER �'t"� DATE 0 Y7 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVED O DEPARTMENT YES No
BUILDING VALUATION ,S/ � S/ew
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 5'
D.O.T. BUILDING !� - PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
c
rap 1/ v Y SHORELINE
•1 (-64, Y WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLLiANS C�)HECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
C� -J7 BY(J � , CASH CK MO TOTAL