HomeMy WebLinkAboutBLD12946 Final Mobile Home - BLD Permit / Conditions - 10/28/1982 Paschki, George #12946'
275-3359 - 9/1/82
s 1/2, s 1/2, sw 1/4, NW 1/4, 16-23-1
' 2.2 miles from Belfair,�NE 2282 Old Belfair Highway
Mobile Home Contractor:
24'x48' , 1982 None Listed
$21,312.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks: o
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BUILDING PtR/HIT APPLICATION
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MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p.
DATE ISSUED �` O ��
P61 G k PERMIT NO. T
OWNER NAME MAIL ADDRESS CITY&STATE ZIP c PHONE
.fr. 6L#C - ^J GT
DIRECTIONS a 7 9 3 5.5
TO JOB SITE �,
A M U L F
LEGAL 1 (❑ SEE ATTACHED SHEET)
DESCR.1 aI
CONTRACTOR -
NAME All ADDRESS CITY 8 STATE LICENSE NO. PHONE
USE OF ,
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
a �2
Valuation of work: $ > PLAN CHECK FEE PERMIT FEE `S
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE Ci
ATTACHED l_] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SO. FT. - FIREPLACE L DETACHED C
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered Contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT : SHORELINES
SEASONAL ❑ FLOODPLAIN L;
Firm E.D. NO. S.E.P.A. L
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is Issued and that all work done will ROAD ACCESS
- b6to conformanr pher I MOTOR VEHICLE PERMIT
r �/` AP L ATION ACCEPTED BY PLANS CHECK BY BY VED FOR ISSUANCE
0 ner Date . U v'� /
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH
PLOT PLAN
ADDRESS PERMIT NO. 4 0
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LEGAL a
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
770 d � r ;2
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I/We certify that the proposed construction will conform to the dimensicros and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER($) OF SITE 6 STRUCTURE(S) (PRINT) SIGA4ATURE OF OWNERIS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTEDAS NOTED,( ZV�
6HELTON PR INTIN i
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