HomeMy WebLinkAboutBLD92-0889 Mobile Home - BLD Application - 12/31/1992 Permit NO.BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner,9' �YlLti 3T 'Pt rA- kL Phone#
Site Address .BeiP-.d 2220r ",41e& _ 4-07- C
Cit Sti `-Zip
Directions to Job Site
� Q r
Owner Mailing Address _ O ,801lle) //d.3
City St h%91 Zip
Lien/Title HoldevQE1rfdc-- or-
Address
Cit St_
#2 Contractor Name Contractor Reg#
Address Expiration date_.
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply_ Well
(If residential, proof of potable water may be required)
#4 Parcel No. / -S1
Legal Description-. Ale-,6 � T/3�CS- /1�, v/c LD7' C "T Zz4
e+�of3�tr v�,E �frliC -
#5 Building Square Footage: (existing/proposed)
1st Fl / 2nd Fl / 3rd Fl / Loft /
Basement / Deck / #bedrooms _ #bathrooms
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft /
#6 Use of building Describe work -�
97 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year Make4f:K�oA Model
Length__ 4'?O Width �/,t?- Serial No.
""Bedrooms aL ;Bathrooms / Type of Heat E66C7"A1G
n9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal ru^ot
ot.`:er