HomeMy WebLinkAboutBLD26668 Final Roof Over Mobile - BLD Permit / Conditions - 1/24/1991 Shorelines: Plumbing:
Setback: Mechanical: r-
Special Interior• Q
Conditions: FINAL:L �- 1- Z,1-91
Mobile cme:
Smoke Detector:
Remarks:
0o ing:
Setback:
Foundation
Walls:
Framing:C
Fireplace:
Wood Stove:p - j-2�a/IZL.
TYPE ROOF QVFR h90RT1 F
Permit No. 26668 No. Floors Sq Ftg 1078
Owner RIIrHTNr ^I I FN Tel4��lti5 Date Q_In_Qn
Address F 4401 n1 rle I �ime Rri d el een Zip
Contractor
Address Zip
Legal Description Lake Limerick div 4 tr 211
Direction to project site Mason Lk Rd turn R before
goine under railroad bridge
um ing Mecbanical Sewer Wood Stove
Fireplace Deck Garage arport
Basement ---Loft Other _x
3ZIz-t-. �3- 05Dz1 l
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES •
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED r
PERMIT NO.
OWNER �. NAME MAILADDRESS CITY&STATE ZIP PHONE
/j eA 1 D.
�us I u 44
1)
m I de a i 1, wA 9,f5(?42 b- i 5 5
DIRECTIONS li
TO JOB SITE m A 5o►J 4,tj-r/V f i " Q r e m/N ( opc-k, I lr d
PARCEL LEGAL
NUMBER , 3 a 12 9 5 3 00 1 DESCR.,. `. A rG 2. 11
CONTRACTO�
NAME MAIL ADDRESS CITY&STATE LICENSE NO._ ZIP PHONE
1 1 _
USE OF
BUILDING
CLASS OF NEW ADDITION ✓ ALTERATION REPAIR ,� MOVE REMOVE
WORK
WORK DESCRIBE X/ Rl. d &ce ed r'ocr� over hc)ff\p, /rr"yAxtr�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I T CERTIFY HA I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTINER
NG APPROVAL FROM THE BUILDING DEPARTMENT. APPRO AL FROM THE BUILDING DEPARTMENT. __^^�+ c
X O DATE X B Qj�4TE3 nL O /
FOR OFFICE USE ONLY
DEPARTMENT APPROVEDJO DEPARTMENT YEAPPROVED1O BUILDING VALUATION /
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING 0 PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP /✓f.. f PRE-INSPECTION
o9,2 y y i07� s ,� 90 SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLA S CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL D
BY DY- 0 J/"9v CASH CK MO
_ bID Pro
so
o %
4
o
0
0
O
Y
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iNSI'KM\O APPR(`'JAL
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