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HomeMy WebLinkAboutBLD13231 Cancelled Mobile Home - BLD Permit / Conditions - 1/9/1991 1i Schlesener, Daniel J. - #13231 275-5435 11/2/82 Lot 17 of Beard's Cove #7 North Shore Road to Admiral to Pirates Den Road (NE 4C:'I Mobile Home Contractor: 820 Sq. Ft. Hunt Mobile $15,540.00 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 PERMIT r 6 4 _r a DATE 1-f-_ SY B OIL DING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE i S c e E1, B h 20 -5 DIRECTIONS I Turn o„ +0 Admirod -From AY. Shore Rot. oh �-grsen- Welli e- Rd, t' Beards TO JOB SITE I LEGAL LO I-7 Bevrds Cave 7 as per p a-t there-of (F] SEEATTAC EDSHEET) DESCR. 9Flats, 1^ NAME MAIL ADDR S CITY&STATE LICENSE NO. PHONE CONTRACTORUSE OFA/ �A BULDING New /4obi)e 4olme -- Principa( �.fes;d' Class of work: ,<NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE j SPECIAL CONDITIONS: BEDROOMS 2 I DECKS CARPORT ❑ NOTICE BATHROOMS__ ITOTAL SO. FT. GARAGE LJ ATTACHED [� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES—]— BASEMENT C OR AIR CONDITIONING. TOTAL SO. FT.-N,ZQ I FIREPLACE i ; DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FO OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT V SHORELINES 11 SEASONAL I � FLOODPLAIN i i Firm E.D. NO. S.E.P.A. i i By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. Z 11 Z PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT p�?� APP ICATION ACCEPTED BY PLANS CHECK BY APPR VED R ISSUA E Owner Date .� D BY PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS PfJ. 13QX 1I 7s AlE J4 / `ra tS DC VI RG�� PERMIT NO. ° f ° Be_I-fall t- W/ 985air ; R�a ° LEGAL ((�� 'V O. DESCRIPTION LOT 17 O"r lkard/S C0we4V6Ilc. ADDITION u L SITE AREA © Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS F9,40 Sq. Ft. INSTRUCTIONS TO APPLICANT x 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.) to FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF Q PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS,SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION Al"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 GRAPH SQUARES ARE 5' X 5' OR 1"=20' 4 (ice/ 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. Daniel J, amyl Alenira D. .SckJC:s ;)-��cn, �l NAME(S) OF OWNER(31 OF SITE 6 STRUCTUREi3) (PRINT) SIGNATU O OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON PRINT1N3