HomeMy WebLinkAboutBLD27316 Mobile Home - BLD Permit / Conditions - 1/4/1991 r 2,30jo sa-at%
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
MobileHome:
ss Smoke Detector:
01 w Remarks: A 13-f/ ,2 Aso/qig
oot ing: �✓ Fb�r�tS .tiiT�i✓
Setback: -�
Foundation 4
Walls:
Framing: P
Fireplace: Will I R, yra j SY yxelsaYl(IN
Wood Stove:
B
TYPE - - -Nobtle-Hone- -
Permit No. 27316 No. Floors 1 Sq Ftg 720
Owner E-Liie Bowen Tel 692-3859Date 1 -�--91
Address 9725 Danwood Lane #212 Silverdale Zip 98383
Contractor
Address Zip
Legal Description Beards Cove div 5 lot 56
Direction to project site SEE ATTACHED MAP
,11R.soAI MOIL" 390 4di r� Ri w1147
Plumbing Mechanical ewer Wood Stove
Fireplace Deck image import
Basement Loft Other
7- BUILDING PERMIT APPLICATION
s-6 MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON98584 L/ 1 C
427-9670 ; 1 56r� DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&S NTE ZIP PHONE
OWNER — M Q S A <C
DIRECTIONS
TO JOB SITE
PARCEL ! LEGAL
NUMBER DESCR. e- r/ j
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NE ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
WORK DESCRIBE 4 pX / /) 'n
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 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 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 ISSUED 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 CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE DATE �/ J - �' X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES No
BUILDING VALUATION 4r-c -
HEALTH PUBLIC WORKS FEE
PLANNING CIL, FIRE BUILDING PERMIT :z
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 3 �Y! PRE-INSPECTION
--Q44- _ 0 - 104- urn SHORELINE
-11 r
yak L CQ v w WOODSTOVE
w-lur-r 1V,4vAF I-PIDA - "c' PLUMBING
7 %✓ rjy-r!°6�GTrp°�' c _ MECHANICAL
STATE BUILDING FEE
q ,60 -STATESURCHARGE
APPLICATION ACCEPTED BY I PLyANNSS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ,/
'f� BYRk f�--�6' G CASH CK MO TOTAL (•/-�