HomeMy WebLinkAboutBLD0192 Mobile Home #28 - BLD Permit / Conditions - 10/10/1989 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile How.
Smoke Detector:Xz =a<<u'c
Remarks: _/ ,7-,
Footing:
Setback:Found
Walls:
ion
Was
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 0192 No. Floors Sq Ftg 924
Owner SPRAY, co �6
Tel 770 Date 0-10-89
Address NE 20 Roessel Rd #28 Belfair Zip
Contractor Transit Homes of America
Address zip
Legal Description Sam Theler H & G Trs Tr 20
Direction to project site Golden Bell Mobile Home Park
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck garage rport
Basement Loft Other
1981 1466 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /I le,
PERMIT NO.
NAME MAILADDRESS
OWNER CITY B STATE ZIP PHONE
S'�rf s/y ,, - .VS d 3 'i ?aa )l=flle wA qg�)g /J7S-y
DIRECTIONS
TO JOB SITE �p �N' hI �e TYvti oole K
PARCEL h
N U M B E R�� L 66 6000�C/
CONTRACTOR T HI7 s/ IL NAME MAIL ADDRESS CITY&STATE --LICENSE NO
ZIP PHONE
mzs <<t
USE OF
BUILDING
CLASS OF NEW
WORK r ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK /
BEDROOMS 3 DECKS CARPORT NOTICE
BATHROOMS TOTALSQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OFSTORIES BASEMENT ATTACHED
- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ.FT. V-2 Y FIREPLACE DETACHED COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
_ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER 'AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOUI MENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT.
APPROVAL FROM THE BUILDING pEPARTMENT.
X NER ATE 24 A'ts1
X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES NO YES NO BUILDING VALUATION
HEALTH PUBLIC WORKS
FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING .L/f( PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP ;a PRE-INSPECTION
SHORELINE
�2 E - O-/3 WOODSTOVE
7. PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUAN♦CE PERMIT VALIDATION
41 %"I1 - CASH CK MO TOTAL qQ 76