HomeMy WebLinkAboutBLD9147 Final Mobile Home - BLD Permit / Conditions - 6/26/1981 Kinnaird, L. M. _ #9147
12-4-80
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Approx. 2 mi. no. of Belfair on 'Old Belfair Highway
2 story white house on wes& side of road
16-23-1 - Tr. 4, NW NW
1969
Mobile Home (Variance for blocks)
$6,500.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
• P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED99/i
PERMIT NO. &�
OWNER NAME M MAIL ADDRESS CITY&STATE ZIP ;1�
DIRECTIONS
TO JOB SITE 11pprox , aml Lfts hlaii,46Al Q061 7UM14.11tAh
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �� a `1 Tkq w w
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF 1 I v 1 •n
BUILDING !�.
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
up nh -L A6w&- k6cd),
Valuation of work: $ / PLAN CHECK FEE PERMIT FEE
SPEC L CONDITIONS:
BEDROOMS DECKSCARPORT ❑ NOTICE
BATHROOMS_I TOTAL SO. FT._jjW_ GARAGE ❑
ATTACHED f-. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Li ATTACHED AIR CONDITIONING.
TOTAL SO. FT.! FIREPLACE ❑ DETACHED Ci
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 LI SHORELINES
SEASONAL ❑ FLOODPLAIN i I
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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
be in conformance therewith. KftOR VEHICLE EPMIT
Xwnctr, TLt43[j(, Date.
/aZ _ LIGATION A BY PLANS CHECK BY ABYPR ED I LANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Q CK. M.O. CASH
PLOT PLAN
ADDRESS � � PERMIT NO. 4 °o
o
0
LEGAL
DESCRIPTION I L . a3 LOT BLK ADDITION u
R q IU w - TU w
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 A"'D 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.
V
INDICATE NORTH IN CIRCLE �Of GRAPH SQUARES AR 5' X 5' OR 1"=20'
105e s�
PLAY
6
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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. _7� , WCI '
NAME(S) OF OWNER(S) OF SITE 6 STRUCTU E(S) (PRINT) IG TURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PR;NTIN3
ftl �;,aM� D.T etp S2 h? •5�' ax c'„_',�a.. .i�
5`3: tied &i:e h Stux_ta
:tone 426- 593
MESSA430 DATE 12/4 / 6') REPLY DATE
TO
L. M. &innaird
St. l t. 2111, Sox 746
breiaertou, Was.i. 96310
Dear Mr. Kiunaird; Enclosed is your approved
permit for setting up your mobile hone. As you
will note on ttie card you are to post and on your
pink copy of the written penaiL, the variance for
setting; tite raooile on blocks nas been grauted- pro-
vidiub you dou'L exceed 36 inciies in height with
your mobile home.
mere has been a standard form letter sent out
to yuu iLL yesterday's mail which is to notify
people that titey will need building; permits. Please
disregard it.
I
fhank you Mr. Kirutaird.
I
Sharon tdiggins
Secretary
SIGNED SIGNED
Redifprmg 4S 473 SEND PARTS 1 AND 3 WITH CARBON INTACT- PART 3 WILL BE RETURNED WITH REPLY.
Poly Pak(50 sets)4P473
DETACH AND FILE FOR FOLLOW-UP