HomeMy WebLinkAboutBLD93-00708 Cancelled Mobile Home - BLD Application - 10/29/1997 MASON COUNTY PtWlt
Mason County Bldg. 111 426 W. Cedar NULL I �J'PID BY EXPIRATION
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P.O. Box 186 Shelton, Washington 98584 DATE 9 BY
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date h " V,11 C-- b
Foundation Walls date by Set Up —1 r
date by INSULATION date - t 1 — by KIQ c
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 by date by
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MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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POTLATCF
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT _ V
#1 Owner a 3/a1 4 S7GV� Ty�I c.7Z Phone#
Site Address E. t t?5 e-� at/� Fire District# S
City _6,hl E4-7-04) St t,/lit' Zip 9d Bel
Directions to Job Site �-Tr-A7seJ RZ)A-fl 7-;JF_ C Y -rV&17 F
P.V1C�
Owner Mailing Address 775 , a4%
City --*d+ni K.IA- St 1✓W Zip 185K y
Lien/Title Holder go f2 Te1lLs Tyh
Address -P 0. 5C))�:
Clty-- ...5ktA St L,./14 Zip ':�$sg
#2 Contractor Name Contractor Reg #
Address Expiration Date
City St Zip Phone #
#3 If septic is located on project site, include records.
Connect to Septic?__,�/,_ Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. �i 30 - -)-5 - 000 a.0
Legal Description '
#5 Building Square Footage: (existing/proposed)
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other /J sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make�1V►odeI
�..1, Lengthy_Width Serial No.
# Bedrooms _# Bathrooms / Type of Heat aeCJ,'!C,
Purchase Price $
#9 Indicate by circling the applicable rce if any water is on or adjacent to subject property:
River Pond Creek Strear Wetla Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
q
o
GR Artz��►ZRY ��Y�aru� r��e�
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
loco
U�
i
� - 1
PlUmbina Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
o. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
_Bath..Tubs No. Units Fees
Showers Furn BTU
_Hot Water Htr _ Heafpumps
Laundry Washer Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals No.. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50�00
Xxed Fire Supp. Sys 50.00
Fermit Basic Fee 15.00 _ Auto'i�ire Sprink Sys 25.00
r� TOTAL PLUMBING $ No. Other \
Gas Outlets
IWood, Gas, Pellet ve
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER �. 1�� X BY
DATE ` "^ DATE
FOR OFFICIAL USE ONLY: Accepted by: hi 4 Date:}�T S
DEPARTMENTAL REVIEW .
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: I t�yr �v� , �' �G<���o�+sitar D�;.✓
MT
Building Plan Review Cood i on C o/yj i, .Side"d F
�o c
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
=Buildinguation: TOTAL FEE q.