HomeMy WebLinkAboutBLD27976 Final Mobile Home - BLD Permit / Conditions - 5/2/1991 Shorelines: Plumbing:
Setback: Mechanica .
Special Interior:
Conditions: FINAL:�y� -X/
Mobile ome:
Smoke Detector:i��;`,�s:� Y,
Remarks: d 10,14r,147
Footing:
Setback c
Foundation
Walls:
Fr aping:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 27976 No. Floors 1 Sq Ftg 624
Owner PETERSON FAY D. Tel 674-2321 Date 4-24-91
Address Box 1351 Belfair. Zip
Contractor Self
Address
Legal Descri Lion B ip
P eards Cove div 5 lot 2
Direction to project site Beards Cove Corporation
B
Plumbing c anica ewer Wood tove
Fireplace Deck Z stage �rport
Basement �,ofL Other
BUILDING PERMIT APPLICATION
MASON COUNTY
�J DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 144
PERMIT NO. / q
OWNER ME MAILADDRESS CITY BSTATE ZIP PHONE
J-
DIRECTIONS
TO JOB SITE D s p �� p -
v t S v/i Ni Po
PARCEL LEGAL - n P-s co us
NUMBER ).2330-52-000I6 DESCR. /'� 2 LZ72--
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE J i _ f
WORK s I , /L/Z 7[ m 6 G ,? x.5 .2
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 SQ.FT. FIREPLACE 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 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 C ANGES HALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
xOBTAINING APPROV FROM T BUILDI G DEPART ENT. f� 9� APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN X BY - --- ---- - -- DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVEDO BUILDING VALUATION
_
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 0 1 PRE-INSPECTION
l SHORELINE
If WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY
/ APP ED R ISSUANCE PERMIT VALIDATION /
e CASH CK MO TOTAL a�
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TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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