HomeMy WebLinkAboutBLD25675 Final Mobile Home - BLD Permit / Conditions - 9/13/1990 Shorelines: Pltmbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile-Home:
Smoke Detector:
Remarks:
Foot ing:,p 1,ehiT5P o
Setback:
Foundation
Walls:
Framing:-
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 25675 No. Floors Sq Ftg 1232
Owner, NALL, Rick Tel Date 5-15-90
Address P 0 Box 687 Belfair Zip
Contractor None
Address Zip
Legal Description Tr 25 G.L.3 (Lot 4 S/P 1478) 30-23-1
Direction to project site NE 201 Kimberly Dr.
Belfair
P un ing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
mus r he- 101ae�c�
1988 28x44 3 bdrm 61 jC,-e,,.n ieprie
BUILDING PERMIT APPLICATION
MASON COUNTY 1,23w
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED v� /��
PERMITNO.o/-56 /�
OWNER NAME MAILAD E S CITY&STATE ZIP PHONE
DIRECTIONS 2DI VI� eY �p •� M� 1'QA� fee �(�1
TO JOB SITE /�I f� C. �V
PARCEL LEGAL 40 0¢ )V)SIU btmsplYfloll ( ,
NUMBER �of DESCR. J o �l�S{Li � 1�1. �'�G�i� EJ � � �twll
CONTRACTOR
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP Q PHONE
,
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
x ��a
BEDROOMS DECKS X/b CARPORT_416 NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 2 TOTALSQ.FT. GARAGE A1() CONDITIONING.
NO.OF STORIES I BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
�l COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. j2a2 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT L/ SHORELINE
S
OWNE SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR MENTS 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
OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. 7/ APPROVAL FROM THE BUILDING DEPARTMENT.
X NER DATE LI._ ZG; qO X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YES APPROVEDBUILDING VALUATION / O�
HEALTH ,j�� PUBLIC WORKS
FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
`' � �'lf U/vI f �,fYG<' -�f.��/! 7 ���1 (�(�/�:/ SHORELINE
WOODSTOVE
\ PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
`LIGATION ACCEPTED BY PLANS CHECK BY A PROV FO_R NCE PERMIT VALIDATION 1
C� BY CASH CK MO TOTAL ���
I