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HomeMy WebLinkAboutBLD28854 Mobile Home - BLD Permit / Conditions - 8/21/1991 o0oo0 plumbing: Shorelines: Mechanica Setback: Interior Special FINAL: Conditions: Mobile ome: Smoke Detector:/7, Remarks: h pco st �cs. ooting; t v v "T Setback: Foundation Walls: Fr adning Fireplace: Wood Stove: TYPE MOBILE HOME No. Floors Sq Ftg 92 Permit No. 28854 Tel 275-6439 Date 8/2�_ owner Dennis Ward Zip Address Po Box 5145 BC Belfair contractor lip Address Legal Description 16 23 1 of RPlfair on Direction to project site ewer OEMtove ;�Lm: ing _ c anica ar rt Fireplace _ Deck aer _ P° Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED� _ �' PERMIT NOr��L�J f OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE �i 2 7-S'CejS DIRECTIONS TO JOB SITE /1� /' t� ,}i£�✓- J` �tJ 6[/ (� Se. G-s^ 14; 2 C-PARCEL NUMBER , Z �1�jC�) '��'/�$Iti� LEGAL Z, DESCR. ��� CONTRACTOR NAME MAILADDRESS CITY&STATE ZIP PHONE USE OF BUILDING r - Jew G CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK r! ©AJ S Q AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE It J-q_SgFt STORIES ! SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.1 r- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS 2- SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR q ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED, CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED O DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROV FROM THE BUILDING DF.PAR ENT. APPROVAL FROM THE BUILDING DEPARTMENT. 7 X OWNER Z e E X BY DATE z'F R OFFICE USE ONLY1 �; DEPARTMENT YEAPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH �ES PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING � � PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP F J PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL , . STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK BY. AP ED ISSUA PERMIT VALIDATION 7-1 —9� ��"�- 11 B CASH CK MO TOTAL