HomeMy WebLinkAboutBLD19364 Final Mobile Home - BLD Permit / Conditions - 10/2/1986 TYPE MOBILE HOME
Permit No. 19364 No. Floors Sq Ftg 980
Owner SUTHERLAND, William J. Tel 377-7034 Date 9-26-86
Address 5307 St Hwy 303 NE Bremerton Zip
Contractor None
Address Zip
Legal Description Beards Cove Div. 5. Lot 15
Direction to project site 300 to Sand Hill to Larson to
Skooner Pl. NE 40 Bowden Court
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
r s r�
Basement Loft Other
1976 14x70 1 bdrm.
Shorelines: N,¢ Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FII AL:p,L/o =��rG
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
�Y�SS DEPARTMENT of GENERAL SERVICES
r P.O. BOX 186 SHELTON, WASHINGTON 98584
v✓r°r 426-5593 DATE ISSUED on Q
N PERMIT NO.
NAME MAILADDRESS PITY&STATE ZIP PHONE
OWNER J/ NE L , 6 F , ,177AIt
DIRECTIONS TO JOB SITE o /// i 4 A) -4-5 �,�,/ / ��V ,o v
/ 0 4 LI ��� : //Z
LEGAL
DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING ei� m
CLASS OF NEW ADDITION ALTERATION REP.AW-11 MOVE REMOVE
WORK ✓ R.. ..,.
DESCRIBE
WORK / �- L O G!�E � I aTE.�.�
HL
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS A FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT ON LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE 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 CON RMANCE THER ITH. NO RANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI G APPROVAL FR THE BUUGGRTMENT.q APPROVAL FROM THE BUILDING DEPARTMENT.
X N bATE X BY DATE
J.
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLICWORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING _ PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
_e e PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE 40
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANVHE CK BY APPROVED FOR UANCE PERMIT VALIDATION
BY � CASH CK MO TOTAL v5-40, 7,-5