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HomeMy WebLinkAboutBLD28250 Mobile Home - BLD Permit / Conditions - 5/31/1991 TYPE MOBILE HOME Permit No. 28250 No. Floors 1 Sq Ftg 1848 Owner GRAEFF, SCOTF A. Te1275-0708 Date 5-31-91 Address NE 243 New Kirk Road, Belfair Zip Contractor Self Address Zip Legal Description 21-Z3-1 ` Ir A of SP #625 Direction to project site SEE ATTACHED to ing Mechanical ewer Wood Stove Fireplace Deck arage --Carport Basement soft Other Shorelines: i'lumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Home• ��- Smoke Detector:72�;�i .:T,?Wrt Remarks: /1-12-4Y Dot ing:5- �//,Z l/F.y% f/eDe✓!* 3131.4,V 41j- Setback:O,L �� �,r/ ,G3i�c1< '0cwx Foundation Walls: Framing: Fireplace: Wood Stove: ©u- r� a� ,+ ter �,, � JZ 1.1 b ` I CA� 976 P7 g r g r \� Y q BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE CAP E S�� a ; w kli�< Ric irAIa _ o DIRECTIONS TO JOB SITE S PARCEL LEGAL TV, - G 'S i / NUMBER DESCR. S CONTRACTOR NAME MAIL ADDRESS CITY SSTATE LIC NS ZIP PHONE USE BUILDING d CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE orvnEr15 WORK iWaPi,.l 1 C C-1 SS /" d T` '4t YA A81cy6 BEDROOMS_ DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT 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. ; FIREPLACES_ DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT �_ SHORELINE SEASONAL 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 APPROVAL FROM TH BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OW N ER DATE S G 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 BUILDINGGROUP �I PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE S STATE SURCHARGE APPLICATION ACCEPTED BY PLA SCHECK.BY AP OV OR IS ANCE PERMIT VALIDATION �/ Y CASH CK MO I TOTAL //�^ BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER G /V3 3 Alf - &- L, J -o DIRECTIONS TO JOB SITE PARCEL LEGAL o s g NUMBER 3 : DESCR. 0 F *t Indicate below: 9- Property lines and dimensions. Easements and roads. 0 Septic, drainfield and reserve area, or sewer. Q�- Septic tank and drainfield setback distances from foundations. Q�- Location of proposed construction on property. 0- Building & septic system setback distances from all property lines& easements. Indicate North I& Well and water line. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.NR ')- Attach copy of septic system as built or septic permit approval. Indicate topography profile3Q/f property and structure on reverse side. lot �= 4.c ( F Til H I Qrl tto t y f P S7'A c t f ✓h T k 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. SIGNATUR NER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW TH S L E APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE S .T , Fcr