The URL can be used to link to this page

Home My WebLink AboutBLD26804 Move and Set Up Mobile Home - BLD Application - 9/27/1990 BUILDING PERMIT APPLICATION MASON COUNTY i DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED I�A PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER �(�LQ�AI COT SCoB��u eo, 66< DIRECTIONS ,. TO JOB SITE YYL( , QVArtl leOWL E(.E0 I oe o \ -i�CL F w 1Q/N 1�1J F-S7 O L1+moo r� G+Qvs 4 o 15 f r �\w N� S 1PARCEL LEGAL d r NUMBER (oZC� 3 DESCR. or -F 184F7T NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP r PHONE CONTRACTOR USE OF 4 BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK BEDROOMS Z DECKS YO CARPORT -H NOTICE TOTAL SQ.FT. DECK �- GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS J TOTAL SO.FT. TOTAL SO.FT. CONDITIONING. NO.OF STORIES BASEMENT Y OQN THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTALSQ.FT. TOTALSQ.FT. CHECK ONE ABANDONEDFORAPERIODOF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED. PERMANENT FIREPLACE ATTACHED ' 0 SEASONAL "�� SHORELINE DETACHED e! IREIREMENTS SAFFIDAVIT CONTRACTORS AFFIDAVIT THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE 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 ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING GAPPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. R DATE XBY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATIONuU�` YES NO YES NO 7v HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP ct' PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE 41, CATIOfI ACCEPTEDBY PLANSCHECKSY OVED ISSUANCEPERMIT VALIDATIONti�'QMCI CASH CK MO TOTAL '/ BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP �PJ�pNE OWNER CC C S cv t a ` 7 -6 9 DIRECTIONS TO JOB SITE Vy7 f dS l- OH VH to Ei 61, me PARCEL LEGAL S NUMBER 3 DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines & easements. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage. O Attach copy of septic system "as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. I 1 D I I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. �Z/�I,,ljz-� SIGNATURE OF p R(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE PLOT PLAN MA(, o, gok 12q( LFh,P_I cvf} �78 ADDRESS NE. PVaD1- F PERMIT NO. 0 °o LEGAL DESCRIP IONAS�¢ LOT D BLK ADDITION `Y SITE AREA —3/; 400 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7670 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 AND SEWER SERVICE ELEVATION. SHIiW 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, INDICATE NORTH IN CIRCLE t; J c5a I/We certify that the proposed construction will conform to the dirransions and uses shown above and that no changes will made without first obtaining approval. C;7 cVL� FCIG�i�� 'SC�B�DC• Y1'��c e �w a�c�2 �a-�—�l�--- NAME(a) OF OWNERS) OF lITE S STRUCTURE4) (PRINT) IGNAT RE OF OWNER(!) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE LEASE AGREEMENT THIS LEASE dated this A day of /tutusr , 19 qo , is made by and between hereinafter referred to as Tenant, and 1� Y ER [_ Y hereinafter referred to as Landlord; W I T N E S S E T H: FOR AND IN CONSIDERATION of the mutual promises, covenants and conditions hereinafter set forth, the parties agree as follows: A. PREMISES: The Landlord hereby leases to the Tenant and the Tenant accepts the same, in the condition currently existing in the following described property located in the County of Mason, State of Washington: ,p j� , , City of Belfair , County of Mason, State of Washington. B.TERM: The term of this lease shall be for a period of OVE ,Y44A commencing on the day of yam/bus q— , 19 ('/d This lease may be renewed as provided in the following paragraph. C. RENEWAL: This lease shall be automatically renewed for continuing ONE lenk terms unless , at least thirty (30) days prior to the termination date of this lease, either art thereto gives to the other art notice of its party 9 party intention to either terminate or to renegotiate this lease. The notice of intention to renegotiate shall be deemed to have the same effect as a notice to terminate. Any notice to LEASE AGREEMENT - 1