HomeMy WebLinkAboutBLD18009 Mobile Home - BLD Permit / Conditions - 1/9/1991 TYPE MOBILE HOME
Permit No. 18009 No. Floors Sq Ftg 9 Rn
Owner WILLIAMS, Lillian R. Tel Date 9-30-85
Address E 61 Errigal Place Shelton Zip
Contractor None
Address Zip
Legal Description Lake Limerick Div. 4, Lot 151
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1977 14x70 2 bdrm.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
mill<I. 8—Voo
DATE �,9�'� BY
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �Q ^�
DATE ISSUED �
PERMIT NO.
OWNER NA E M-AL-ADDRESS CITY!,S,ATE" ZIP PHONE
.r - D
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. L k/
CONTRACTOR
NAME MAIL ADDRESS 21 CITY 8 STATE LICENSE NO. PHONE
USE OF YV
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE
e worjC:
C.J v
/277
�.
V�ation of work: $,� PLAN CHECK FEE MI FEE �.
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING �
NO. OF STORIES BASEMENT [I ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOE) USE ONLY
or Hance requirements regulating the work for which
th permit is issued and all work done will be in
c nformance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 2_
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 fKat all work done will ROAD ACCESS
be in conforma ce rewith. MO R VEHICLE PERMIT
1
\ , / �j APPLIC ION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Own, w '")ate.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS -�� I r^NI LaI do I- &-L I]-!a j�1"`i ai PERMIT NO. F o
� � o
LEGAL I`
DESCRIPTION � I LOT BLK ADDITION ^
u
SITE AREA I' �, Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. ,
INSTRUCTIONS TO APPLICANT
Cam'
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 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'
c
L'
71
i•�
I �
t
1'
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.
NAME(S) OF OWNERS) OF SITE 6 STRUCTUREIS) (PRINT) 4IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING