HomeMy WebLinkAboutBLD12550 Final Mobile Home - BLD Permit / Conditions - 7/14/1982 Hunter, Robert G. #12550
56-4-9417, Tacoma 6/15/82
Lake Limerick, Division 5, Lot 131
Right at RR Tracks, left at 1st Road, left at 1st road, ]
on corner.
Mobiel Home Contractor;
24'x44' , 1982 None Listed
$19,536.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: 7 - I
Stop Work:
Mobile Home:
Remarks: 7-7--X:Z- / v COy4.
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BUILDING PERMIT APPLICATIQN
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO. �9
AME /+ MAIL ADDRESS CITY
-&ESTATE ZIP �FFHONNEE
OWNER �V-• ✓E 1/ �=d Ih1 a /9 `/ 66 �o5l 17
DIRECTIONS / x-
TO JOB SITE ! .1 //��d xtG ��F� ��: ST c��� s- �c.6�v /�-, ,�0 �
LEGAL / . (O SEE ATTACHED SHEET)
DESCR. .X.414isl0 S - Z O / /_:�/
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF / �,/
BUILDING �lDdf� �VOi � •r�y �.Qi f''C ,e-0C. W�_
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
Valuation of workAAA9&.�1'7.
PLAN CHECK FEE PERMIT FEE
G- 0 Q S
SPECIAL CONDITIONS:
BEDROOMS (DECKS __ CARPORT C 7 N OT I C E
BATHROOMS TOTAL SQ. FT. _ GARAGE []
ATTACHED Ll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Ll OR AIR CONDITIONING.
TOTAL SQ. FT/_ Ai FIREPLACE ❑ DETACHED 1-1 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT 17 SHORELINES
SEASONAL FLOODPLAIN L
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEP
of the Mason County ordinance requirements for .
which this permit is issued and that all work done will ROAD ACCESS
be conformance the�ewith. MOTOR VEHICLE PERMIT
y APPLICATION EPTED BY PLANS CHECK BY APPROVEQS.QRISSUANCE
LA!!j
Owne Date . BY •
L CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. CASH
PLOT PLAN .
ADDRESS :!P- �i��'LflYl. �C3���Icy PERMIT NO. 0
I = o
� : o
0
LEGAL / n
DESCRIPTION ��� LOT 444 ,L/,WeiL,'cX8LK ADDITION��✓l.r�a�
u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS -1041 Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN V-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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
. c•
it
i
fl
l L .
' jA1i Y
l
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 h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
LS2"
STRICT AS NOTED DATE
HELTON PRINTIN3 3