HomeMy WebLinkAboutBLD92-0012 Mobile Home, Deck - BLD Permit / Conditions - 5/29/1992 MASON COUNTY A 6-1
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f� P.O. Box 186 Shelton, Washington 98584 ��
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 3 2 by �� date by
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
--
S*HAAsmclAJ t zAmCjScc, Soa S l '.1 T �St4_LTCW t 4
DIRECTIONS _
TO JOB SITE if OM �� W A +" U 1 C/4 W A /IJ L A V-L RD. 9 . 7 M 1 L t
/2-,6tfT OM COO LYME- D . l5- `t�1ILkS ,1 Lk FT 5/1)
PARCEL LEGAL
NUMBER 3 Id7-S3 c�U�"2 y DESCR. Lo d2li bivlsiom '/ LAKE Lt,nE4rcil
CONTRACTOR
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE LICENSE NO.
USE OF
t�
BUILDING E S/vEn/c
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE p�
WORK �,.c(Z Lf iV"X COnlC�QLTf. l�lFlL �lISiALL oLS'KL/Ort
I t2c,tuT N /Zt�4R �7E_ci,/ x/6' + iNSi/}LZ sEPT1C_ .5 S r Al L 0
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE LLZ SgFt STORIES / SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS 3 PRIMARY RES.p,--' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS /S S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED 0 DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I 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 APPROVAL FROM THE BUILDING DEPARTMENT. �J APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER<����—=- DATE "/ -� - X BY DATE
FOR OFFICE USE ONLY ,
DEPARTMENT YESPPRovENo DEPARTMENT YESPPROVENO BUILDING VALUATION r
HEALTH Mr PUBLIC WORKS F
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING �� PLAN CHECK
SPECIAL CONDITIONS BUILDING GRO , r"ylb _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE I L4`
APPLICATI N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
q�-� TOTAL
D BY CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME AIL ADDRESS CITYB STATE ZIP PHONE
OWNER
:S'i4, W,q '�i2.a,u c, c� Sod S 1 CT S r. S t{E,.ronl LJA J E"y L/Z6-0 33/
DIRECTIONS
TO JOB SITE AEt} A1 41 — LCF)— DN IMAScN LA-KL go of•7m/t-&-s—
RI&A-T OW LDE L MI 5 1 Lt 0A1 LE!—T SIDk—
PARCEL
NUMBER 324),71-5-3-0022 LE AL LoT 4229 LA- LIMEIUc.,c Aov/S/o.v '
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.
r 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.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system "as built" or septic permit approval.
O l In d i ca topog rz�efife tjproperty and stf -onAve rse side.
C.
�. cJ A 1Iva
O
44:
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a
I/we certity that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SL
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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