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HomeMy WebLinkAboutBLD19411 Cancelled Mobile Home - BLD Permit / Conditions - 1/9/1991r TYPE MOBILE HOME Permit No. 19411 No. Floors 1 Sq Ftg 1344 Owner RUDDY, Virginia Tel 275-3517 Date10-13-86 Address P. 0. Box 1233 Belfair Zip Contractor Cha Co Address 19647 Viking Ave NW poulsbo Zip Legal Description Beards Cove Div. 6, Lot 20 Direction to project site Up Sandhill, 2nd left on Larson B1vd.Go to top of hill, go left on Larson Lk.Rd.Left on on right Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 1969 24x56 3 bdrm. J --- -- - - ---------------- ------- Shorelines: Plumbing: Setback: Mechanic .Special Interior: Conditions: FILL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: PERMIT Framing: Fireplace: NUILL & VOW BY EXPIR-AkTION Wood Stove: DATE /-9-9 BY I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUEDQ- / PERMIT NO. Z;/A/ T1 OWNER �O ME MAILA RES CITY&STATE ZIP 27"��/7 � DIRECTIONS ,o TO JOB SITE p Sjk&+0l4;4.i ea, /CT QN �. 2sO�l/ lt'UC. C�zrJ 7 P aFl-It& L k4 F- I.Ew ^ oN vcx Q+4-bi oK S N fA LEGAL I ftke)P— I-AA)i-:" 'V—/oT c7.0 '7'M4: J.i Crh1 T ^/�:JQ`!Cl/77kg a-l- J GCrl DESCR. C U NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP CONTRACTOR Clf AC-o 19617 0lK1NC-A(' .LJ, poc,� A� W C l4-AC-a N-*/y C �-98370 USE t� BUILDING �idIML I CLASS OF NEW ADDITION ALTERATIO MOVE REMOVE WORK ✓ �r DESCRIBE 'WORK A-aL BEDROOMS DECKS U CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS_ TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORI ES I 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 SO.FT.1'3qI FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT' b SHORELINE SEASONA YREQUIEMENTS AFFIDAVIT CONTRACTORS AFFIDAVIT THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE 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 MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING �A PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. l#CCr1A)/,4 XOWNER AID'-$ X BY DATE FOR OFFICE USE ONLY DEPARTMENT Y SPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY I PLAN CHE KK BY / APPROVED FOR ISSSIANCE PERMIT VALIDATION -✓' TOTAL BY CASH CK MO PLOT PLAN ADDRESS N J © ��� I�� � �}�" PERMIT NO. 4 P /� (/�+�C may'o 1T/tp K,l S E_ n s A O O LEGAL / *, a DESCRIPTION �c�, LOT �20 BILK 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"ID 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=204z) r , v y 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. �e NAME(SI OF OWNERS) OF ITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PnINTIN3