HomeMy WebLinkAboutBLD25273 Final Mobile Home - BLD Permit / Conditions - 3/20/1990 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: 3/-5d
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove
TYPE MOBILE HOME
Permit No. -25273' No. Floors Sq Ftg 924
Owner SIMS, Randy K Tel 275-6349 Date 3-9-90
Address P 0 Box 1643 Belfair Zip
Contractor Self
Address Zip
Legal Description Tr 8-A NW,NW (Tr B S/P 713) 16-23-1
Direction to project site 22 miles North from Belfair on Old
Belfair M, turn West onto Ponderosa Rd. 2nd house on right
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement soft Other
1984 1466 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 _
427-9670 DATE ISSUED `3-
PERMIT NO. =2 552?
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Ran4q Y.Sims 3 _
DIRECTIONS 1
TO JOB SITE Z Q IR'T H IQ0w1 &t (, f�4 / iQ of4See F/9//t /T'4(!
00,
NUMBER Z 900 DESCR.PARCEL LEGAC '77, O
CONTRACTOR
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
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BEDROOMS 3 DECKS CARPORT NOTICE
,n' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. /7 2- GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
Q,� COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FI REPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONA
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
BTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
Ta rums 1<, 5 t rAS
UNER DATE JiO X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION
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HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 4 a„J
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE L
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY A OV �FR'SSUANCE PERMIT VALIDATION �o
TOTAL j
�" -� BY CASH CK MO
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2/3
7$ ZQ
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