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HomeMy WebLinkAboutBLD13748 Final Mobile Home - BLD Permit / Conditions - 5/4/1983 Ruddy, Tom #13748 No Phone '�isted 3/22/83 Beard's Cove, Division 3, Lot 33 Davey Jones Court Mobile Home Contractor: 1,152 Sq. Ft. Victor Johnson $22,500.00 Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final:G�' Stop Work: Mobile Home: Smoke Detector: Remarks: • BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 2 /� / •� DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER ©M u D,U o 6n 0.C /11 -oul 3 3 R e,n i o ti GIJr� . DIRECTIONS t TO JOB SITE D/4vi5 �f .3 4OfJe-S CZ. PL i?ADS Covg (3e-LrAa< Z WA , LEGAL (O SEE ATTACHED SHEET) DESCR.1 -3 � C5 3d!�C� 6_z� NAME MAI ADDRESS CITY 3 STATE LICENSE NO. PHONE CONTRACTOR �2 USE OF BUILDING DOME Class of work: Ig NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: St=� ur paugL,- wtb � MogrLe I�orne-i !� , Valuation of work: $ C' PLAN CHECK FEE PERMIT FEE 5— . '�> -7 IV SPECIAL CONDITIONS: BEDROOMS— {DECKS _ CARPORT [; NOTICE BATHROOMS I TOTAL SO. FT. GARAGE CJ ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES/ �, BASEMENT i_; OR AIR CONDITIONING. TOTAL SQ. FT. �(J- FIREPLACE C' DETACHED CI 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 ANYTIME 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 OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES I SEASONAL [ FLOODPLAIN i 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. 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 of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in con ce therewith. MOTOR VEHICLE PERMIT ;O( APPLICATION ACCEPTED BY PLANS HIECK BY PPROVED FOR ISSUANCE Owne Date . - BYE, IU PNjN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS f�()Db y 30� C) /;,C. Mcll!eLLiili�lS� 1,3; Al2� to' trPERMITNO. 4 z o n > a o LEGAL DESCRIPTION LOT BLK ADDITION u SITE AREA 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 Al"D 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 SQUARjES ARE 5' X 5' OR 1"=20' D>�v cy JotIcs C r- i U^ — �\ I/We certify that the proposed construction will conform to the dimensidhs and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRTNTIN3 IV,n-w O � iS 17.3S . QA ,®��� b/ z �' 0 �`' �7;!,• -'✓i_' - i�! �? B� /oo ! 111 I Al IN w _ � � Q � O o � � I c:, � o ® � �r v' � •� i � Ii V4 =53 y � --- - co J } { M^ r 14 fp ale p��