HomeMy WebLinkAboutBLD25074Mobile Home #5 - BLD Permit / Conditions - 1/24/1990 1Rya-s0-060
Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
Mobile Hone:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 25074 No. Floors Sq Ftg 924
Owner GEDNALSKE, Roger A Tel Datel -24-90
Address P 0 Box 2073 Silverdale Zip _
Contractor Self
Address Zip
Legal Description Sam l er Home & Garden Trs. Tr 20
Direction to project site Golden Bell Mobile Home
Park Space #5
um i mechamica ewer tb5a Stove
Fireplace Deck Z7a age Z'sport
Basement soft other
1984 1466 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
L' y
DEPARTMENT of GENERAL SERVICES
�L4 P.O. BOX 186 SHELTON, WASHINGTON 98584
J-5 427-9670 DATE ISSUED
-fit`y PERMIT NO.
AME MAILADDRESS CITY 8 STATE ZIP PHONE
OWNER £ &e-c-A) PO. 13ox av-23 Sic,r rmcc W14.
DIRECTIONS
TO JOB SITE A C ILO 5
D/dfr���!/ �o �• /� �rr�� �a.r/cam ��
PARCEL
NUMBER DESCL ,�Ii�)
NAME MAIL ADDRESS CITY 8 STATE LIC NSE NO ZIP PHONE
CONTRACTOR L,
USE OF
BUILDING
CLASS iJE'Lc
�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK mk�QtL
AADk I N wtt /'�I C I�o c_ ?'D PLa-GFi4i/L� Ucc.af L, Aj , ,,_ .e_ CG u 1,l
BEDROOMS 3 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING. HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO. FT. GARAGE CONDITIONING.
NO.OF STORI ES _L BASEM ENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. FIREPLACE DETACHED ,_ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL -
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
REGISTR 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X ER -DATE r` ~�/ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH , PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY R ISSUANCE PERMIT VALIDATION
.2 ._ \ / TOTAL s7 C / •�S
9�I MO
BY CASH CK