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HomeMy WebLinkAboutBLD14755 Final Mobile Home - BLD Permit / Conditions - 11/8/1983 WARREN, John "Duplicate Card" #14755 10-4-83 Beards Cove, Lot 32, Division 5, 30-23-1 Approx 2 miles towards Belfair St. Park, Right on Sand Hill Rd. (NE 290 Schooner Loop) Contractor Chaco 377-1436 Mobile Home 34 188.0 Shorelines: Setback: Special. Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: Stop Work: Mobile Home : Smoke Detector : Remarks: i ��� _ BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED 1 PERMIT NO. G� OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE ox1 LEGAL (WBEE ATTACHED SHEET) DESCR. 5 (3 _ a 3 CONTRACTOR NAME M L ADDRESS CITY&STATE LICENSE NO. PHONE L USE OF BUILDING nLe2 _ I c Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: r^, i�g 3 1✓ l 0 YC>n -EATrV� Valuation of work: $ PLAN CHECK FEE p�� PERMIT FEE © 7 SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT i t NOTICE BATHROOMS I TOTAL SQ. FT. GARAGE [J ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT L OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ' DETACHED L THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT I 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 th aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT I I SHORELINES I 1 SEASONAL Li FLOODPLAIN Firm E.D. NO. S.E.P.A. L By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. WNERS AFFIDAVIT HEALTH DEPT. OK4 ;3� -1t7o(o PUBLIC WORKS I certify th I am exempt from the requirements of the FIRE MARSHAL contract r registration law RCW 18.27, and am aware of th Mason County ordinance requirements for BUILDING DEPT. whic this permit is issued and that all work done will ROAD ACCESS be n conformance therewith. MOTOR VEHICLE PERMIT p' PLICATIO ACC P D BY PLANS CHECK BY APPROVED FOR ISSUANCE Owne Date BY CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 PLOT PLAN ADDRESS ) { '- PERMIT NO. / �11's 0 0 io LEGAL ' n > a o LOT DESCRIPTION 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 A"'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 5 t� g.. o f T1 I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED / ^� 'TRICT AS NOTED DATE _TON PRTNTIN3