HomeMy WebLinkAboutBLD0371 Mobile Home - BLD Permit / Conditions - 11/19/1985 TYPE MOBILE HOME
Permit No. 0371 No. Floors Sq Ftg 1296
Owner ALONGI, Louis Tel Date 11-19-85
Address 103 So. Lafayette Ave. Bremerton Zip
Contractor Self
Address Zip
Legal Description s^Cove "$iV18, Lot 54
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1986 27x48 3 bdrm.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: ;;•'
Fireplace:
Wood Stove: ,O
Plumbing:
-
Mechanical:
Interior: V
Final:
Mobile o_ d
Smoke D tor:
Remarks::
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. d 3
OWNER NAME MAIL ADDRESS CITY&STAT ZIP PHONE
4 a
DIRECTIONS
TO JOB SITE
LEGAL / ,. / (El SEE ATTACHED SHEET)
DESCR. L!J t s`'� (j —
NAME, MAIL ADDRESS CITY 8 STArfE tICENSE NO. PHONE
CONTRACTOR,f/
USE OF
BUILDING Lo r
Class of work: OX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
I9d'� x a 7 /a96
Irha,- O
Valuation of w`grkj $ PLAN CHECK FEE PE MIT FEE
C' 7
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. ,2M FIREPLACE ❑ DETACHED ❑
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 anc the
aware of the FOR OFFICE USE ONLY
ordin requirements regulating the work for which
the per it is issued and all work done will be in
confor ance therewith. PERMANENT ❑ SHORELINES I
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. N Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
1 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 onformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . �d �c� BY,,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. s
`o
= o
LEGAL
DESCRIPTION i;0 // LOT BILK ADDITION u
SITE AREA a Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS_ /62 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"ID 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
ok
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Owl
IN
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I/We certify that the proposed construction will con or a uses shown above and that no changes will be m e without
first obtaining approval.
s
NAMES) OF OWNER(S) OF SITE & STRUCTURE(S) (PRIN ) F OWNERS) OR AUTHORIZED REP TATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING
d SENDER:
O ■Complete items 1 and/or 2 for additional services. I also wish to receive the
H -Complete items 3,4a,and 41b, following services(for an
H ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. y
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
2! permit.
at ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery fn
z ■The Return Receipt will show to whom the article was delivered and the date
o delivered. Consult postmaster for fee.
3.Article Addressed t ,� � � 4a. icle Number
a tL �a/ /`(�C�l� �
7�0 v^'", 4b.Service Type m
Cn ❑ Registered Certified rn
cc ^�rx d/ ❑ Express Mail [, Insured
W J S y'
o ❑ Return Receipt for Merchandise ❑ COD
a 7.Date of Delivery
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p 5. Received By: (Print Name) 8.Addressee's Address(Only if requested
w and fee is paid) t
cc
g 6.Sign YAddrerr(�P&
rAg nt)
C 1 i4!! t!ifi 1 1't ti! 1 }
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PS Form U11, December 1994 Domestic Return Receipt