HomeMy WebLinkAboutBLD17908 Final Mobile Home - BLD Permit / Conditions - 10/17/1985 TYPE MOBILE HOME
Permit No. 17908 No. Floors 1 Sq Ftg 1008
Owner GREEN, Ethan C. Tel 275-2473 Date 9-10-85
Address P. 0. Box 87 Tahuya Zip 98588
Contractor American Mobile Homes
Address Gorst Zip
Legal Description Beards Cove, Div. 3, Lot 24
Direction to project site - Anchor Dr. , off Sand Hill Rd. .
off North Shore Rd.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1985 28x36 3 bdrm.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior: _
Final: E e/d 3
Mobile Home:
Smoke Detector:
Remarks co
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1' SCc
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �
DATE ISSUED /
�llO
PERMIT NO. O
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
G - ,o say
DIRECTIONS I ,f AU
TO JOB SITE Y
LEGAL (❑ SEE ATTACHED S ET)
DESCR.
[,NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR �
USE OF
BUILDING
Class of work: 5Z NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ Q 6 PLAN CHECK FEE PERMIT FEE 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. 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 the
aware of the FO F F I C E USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
con rmance therewith. PERMANENT f_ SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.oyt` 3
PUBLIC WORKS
I 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 in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY I AEPROVED FOR ISSUANCE
Own Date . y i
PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
CHRISTMASTOWN PRINTING ( . I
PLOT PLAN
ADDRESS c.fi, JJnJ — 7 Zo�I�}),� y PERMIT NO. 0 o
!/ z °
n >
s o
LEGAL / $
DESCRIPTION LOT '_2`/Y BLK ADDITION `j a
SITE AREA �7 So�O Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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 AkID 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'
S
I
i
I/We certify that the proposed construction will conform to the dlmensicros and uses shown above and that no changes will be made without
first obtaining approval.
E77 ' c - 1JtL-=N P
NAME(S) OF OWNERl3) OF 31TE & STRUCTUREl3) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
j DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING