HomeMy WebLinkAboutBLD20815 Final Mobile Home - BLD Permit / Conditions - 10/12/1987 Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
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Conditions: FINAL:e,,�,jr / M,
Mobile Home:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wu.a S.
TYPE
MOBILE HOME
Permit No. 20815 No. Floors Sq Ftg 1568
Owner WEBBER) Marjorie Tel 426-6566 Date 8-26-87
Address E 432 Olde Lyme Rd Shelton Zip
Contractor None
Address ip
Legal Description Lake Limerick Div 4 Lot 210
Direction to project site Lk Limerick Rd past Mini Mart
to O1_de Lyme Rd. (this side of trestle) 4 mi. down Old
Lyme Rd at end of cul-de-sac
Plumbing Mechanics Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other _
1987 28x56 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 p
426-5593 DATE ISSUED o
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER
Marjorie Webber E432 Olde Lyme Rd. Shelton Wa 98584 426-6566
DIRECTIONS
TO JOB SITE Lake Limerick Rd. past Mini Mart to Olde Lyme Rd. thissu�-Mjeof trestle .4 of a
Mile down Old Lyme Rd. at the end of the Cul de Sac.
PARCEL .3 / 7 h �TelK LEGAL
NUMBER DESCR. Pyz , , 11
1
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING Permanent residence
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ X
DESCRIBE
WORK Install and set up new l
�` . CIJIJ G/ tJCI
BEDROOMS? DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES I 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. 1 512_ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE
SEASONAL
OWNERSAFFIDAVIT 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
O NER' BATE /� X BY DATE
FOR OFFICE USE ONLY
DE TMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE `
4APP ICATIONAC TED Y P B AP A E PERMIT VALIDATION
77 Y CASH K MO TOTAL /��� ��