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BLD28453 Mobile Home - BLD Permit / Conditions - 6/26/1991
Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile H cme: Smoke Detector: Remarks: Foot Setback Foundation Walls: j Framing: Fireplace: Wood Stove: TYPE -Mobile -Horne Permit No. 28453 No. Floors 1 Sq Ftg 1760 Owner Harold New-Land Tel Date 6 91 Address "-87 cf Zip Contractor Selt Address E 41 Alder P1 E - SheltonZip Legal Description Lk Limerick Div4 Lot 110 Direction to project site R Dartmoor, L on Ba ri an 1st Lot on right, E 2 Balbriggan Rd Plumbing x Mechanical x Sewer Wood Stove Fireplace Deck Ta e � rt Basement soft Otherg Special Condition: Must maintain required space between drainfield runs for reserve BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 '� ^ 427-9670 DATE ISSUED C� PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE '62#Aeap �w� rcJ� �.yl /�4 >DL, t/EL7 !>< 965�� z6 jk96 DIRECTIONS ��//�� TO JOB SITE JkS'Dd �K P2.D. TD L A90 1�All5 ,/V°/� /C� - �� /6,fT ,�2Ti110©2 .CDC' OAJ le/6l(l- '�ZO MLe2669AJ tab PARCEL LEG NUMBER �Z�.27—�Q VcVlpl ESCR. C/< 4/Im D�V� ,Lo r / p CONTRACTOR NAME MAIL ADDRESS CITY d STATE ZIP PHONE UCENN NO. USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE �p? WORK �AAS LL / %dr D �(J E/2 S < AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE 1 760 SgFt STORIES_� SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS --�a- SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE �O SgFt ATTACHED U DETACHED '1 OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 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, P BTAININGAP Al FROM THE UILD G DEPART ENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES NO BUILDING VALUATION q HEALTH �L- PUBLIC WORKS FEE' PLANNING FIRE MARSHAL BUILDING PERMIT �S D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE 1 j -FL-j E r -4 WOODSTOVE (4 I v hl PLUMBING MECHANICAL STATE BUILDING FEE / APPLICATION ACCEPTED BY PUNS CHECK BY A RO D O ISSUANCE PERMIT VALIDATION �1- BY CASH CK Mo TOTAL �� � BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 Dqr ISSUED PERMIT NO. NAME 1 AIL AOORESS C17Y d AT- ZIP PHONE. OWNERr�X+AA1A1- 32�GG�9-n� DIRECTIONS TO Joe SITE PARCEL Lc" NUMBER I�JZ/Z ,. oal/D� OES uaLCP. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. - O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system"as built"or septic permit-approval. O Indicate topography profile of property and structure on reverse side. I i i I I I I II I t % I � i II I I 11Q ,/I/ I 11-�l V I I I/w@ cer:iF/;1d,;�z JtJJO3?'�,;Jr.S:,_�:Wn w. J�r,!Jr� ;�?dig^a^S"Jr.S and uS23 S�Jwn dbJv?S,^C;ti31 J ch. 3.'y?S'mill 5?,Zdda x;:a Jt;!'ira".J btsi^ks aPOrJvdl. TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE I I I I II I I I I I i II i I I I I I I I I i III IIII Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance z r, t / - $A l 47tCr. / A5 A oo .O QQ.t k 4 S%tir Fe►NT s BACK 02 kT, You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ;--16'ake corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date Inspector ■ *0 NnT MnV TH14%h Tm6ow' S.GcnIcn 4:cwg the ZSa1 COUntyr 2 .. assessor- • Bea r .f•ti Ve hZve recently retaived a cagy of C': csrccacn for awbiLe home movemanc on your mobile home. Za order chsc we may accurately value you oobila hcaa, please coaplece the questions be Law and recurs this Coca to our office by ' It is_ iasparzcive that this iafocwation ba provided ca prevent a possible double assessmrtnc_ — Po .. MOB..:' HCMF_ OATA VA= tlRDM. MC3=—r HCWE LCCATIOM INFC2MATICM SaLIAL # A_ ,bty, p==vacs Ly awned Land- 3- If canted or Leased Lind who froze? mum A LM=:S CI i Y & SIaI� ' mot C. flea L P:v pe rcy Parcel (Cox sucament D_ ' HaiLiagMA=Q and addre33 for ovwer of mobile bona y4i '' • AJ302=s / 9���` l �4 cr r r.Arr E_ Laeaeian address of mebilc homda crrr I F_ Dace mabLIC haac vas placed on prezenC sire C_ Pc�rcbas< Pr ice Re DAI r: S I CtA1Td: