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Home My WebLink AboutBLD19767 Mobile Home - BLD Application - 1/14/1987 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED `'�• �j/ A"6 740 PERMIT NO. OWNER NAME MAILA RESS - CITY SST TE IP PHONE '1 8 528 r3 DIRECTIONS TO JOB SITE v 1 F!Xr r LEGAL DESCR. J 7 CONTRACTOR NAME MAILADDRESS CITY&STATE LICENikNO. ZIP PHONE USE OF BUILDING le 13i CLASS OF NEW ADDITION ALTERATION REPAIR MOVE WORK REMOVE ✓ DESCRIBE _ jj,^, WORK r vyi L�11� \e (-Q 1 BEDROOMS DECKS CARPORT 6N& NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. __3� GARAGE C)QtZR CONDITIONING. NO.OF STORIES �- BASEMENT !J C.V C ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FORA PERIODOF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED. PERMANENT �� SHORELINE ku00Ci SEASONAL OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM NTS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT APPROVAL FROM THE BUILDING DEPARTMENT. X OATB V < u X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO �i�/�✓ HEALTH PUBLIC WORKS FEE PLANNING i FIRE BUILDING PERMIT f D.O.T. BUILDING l PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP �_ PRE-INSPECTION f� SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE / STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CH CK BY APPROVED FOR ANCE PERMIT VALIDATION Lp BY CASH CASH CK MO TOTAL G07no!.- CnA I r QPISE5SOR T P E "" .AS0 C0 !j TY SSE. SS0R Rn ir,LAS JWNTS C .I EF 7rPUTY PLEASE S19PPLY T!'E Owners Name: Te1e # 2�5"2 o?v� °7ailinr Address ►SiL 1`1b ir nn. R%A . � g Previous "Mobile Home Owners Name & Address � Description of Mio ile Home: (Information is on your reristra on certificate) ",ake d a m ,- - Size L, 6___v+6C-1 Year. 19 7`t Serial # Year-fv- n-tasedLPrice (Less furniture u sales tax) $f If lotatinr, in Mobile dome Park: � `� Y oC_e-,51 Naate of Park: Space # If '.'Off in Mobile Home Park: Do you own the land on which the home is placed? Yes ^�o Real Property description .-+- S iN �`��JeC. Owner of Land if you are NOT the Owner��rvt �, � r h� �,,.LS Brief direction to location -TrCM DA r',1I,e I I,Da uis Tacai laaA �� We s� i J� ef�,•se� y�lD Date P?ob'ile Home Entered !'ason Count,v �j` Odte you .anticipate novinn Mo-hile Home to another' Ibcation�^ f✓ c .� �Ln If moved from a Mobile Hone Park Rive: ",4ane of Park• Space # Your hone will be placed on the rolls of P"ason. County. . !j'e would appreciate a prompt reply. Please feel free to contact this office if you b Ve hny questions .at as 1. �E (uti a�i 5. 1 '. V\ S c`Q C-YV\OV YL ram- Very �ru1y'`yours, F Pol en C1 aser Personal Property Department: Zeew" �szu�p v1 wnersnature ---Date-- --- i MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex 2 N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 - (206) 426-5593 building environmental health maintenance parks&recreation planning sewer&water December 9, 1986 Ray Mastel NE 170 Davis Farm Road Belfair, Washington 98528 Dear Mr. Mastel; Some time ago you made application through this office to obtain a building permit. Please be advised the permit is ready to be issued and can be called for at this time. If you are unable to call in person, a check in the amount of $ ** can be sent to us and we will return your permit by mail. This permit becomes null and void if not called for within 180 days of the date of application. We hope to hear from you soon. Sincerely, Evelyn Fuller Receptionist ** Before the fee can be determined on this building permit, we must have the year and size of the mobile. Also, the enclosed form for the Assessor must be completed and retuned. UNIFORM BUILDING CODE (c) Expiration of Plan Review. Applications for which no permit is issued within 180 days following the date of application shall expire by limitation,and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official.The building official may extend the time for action by the applicant for a period not exceeding 180 days upon request by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew action on an application after expiration,the applicant shall resubmit plans and pay a new plan review fee.