HomeMy WebLinkAboutBLD18048 Cancelled Mobile Home Replacement - BLD Permit / Conditions - 1/9/1991 TYPE MOBILE HOME REPLACEMENT
Permit No. 18048 No. Floors Sq Ftg 784
Owner NIELSEN, Carl Tel 723-7527 Date 1010-11-$5
Address 10321 61st St. So. Seattle Zip 98178
Contractor Sun Mobile Homes Shelton
Address Zip
Legal Description Lake Limerick Div. 5, Lot 66
Direction to project site
E 760 Olde Lyme Rd.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1986 14x56 2 bdrm.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:
Mobile Home:
Smoke Detector:
Remarks:
Ks e
NULL. & VOaD BY�TRATIVN
DATE /" —y -BY --
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. �Xf4:::�y�P
NAME MAI ADDRESS CITY&STATE ZIP PHONE
OWNER
L (2 _ I SZf� L WA. 752-
DIRECTIONS �' 1410
TO JOB SITE I1/) p Co v K +a QLJ vf L
LEGAL / (� (❑ SEE ATTACHED SHEET)
`�
DESCR. �Q . i L 11,e �� LEE ICE
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
� O C N
USE OF J
BUILDING / ��//E - QrjJ� /`� �aC'�f��f�%
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ f� �O OD PLAN CHECK FEE PERMIT FE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑
NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. 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 aware of the FOE) F F I C E USE ONLY
ordi ance requirements regulating the work for which
th permit is issued and all work done will be in
rcmformance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
B Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT,&-k d
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 that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
Own APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. o
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i o
n >
LEGAL z
DESCRIPTION LOT BILK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
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.
S(,�o �
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
� C
Z.
S
r
y
I/We certify that the proposed construction will conform to the dimensions and uses shown abov P.ndthat no changes will be a without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE ! STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING