HomeMy WebLinkAboutBLD28691 Mobile Home - BLD Permit / Conditions - 11/16/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
ootinngg
Setback:
Foundation
Walls:
Framing: U " 4 `
Fireplace: DATE - BY
Wood Stove:
TYPE MOBILE HOME
Permit No. 21202 No. Floors Sq Ftg 1344
Owner SANDERSON, Howard Tel Date 11-16-87
Address E 121 Catfish Lk P1 Shelton Zip
Contractor None
Address Zip
Legal Description Tr 15 SE 34-21-3
Direction to project site Hwy 3 to Mason Lk & Lk Limarirk
Rd Top of hill turn rt onto Cnr fish Lk Rd_ Cn fn A„d of
Plzen ing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1973 24x56 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 //
426-5593 DATE ISSUED,
PERMIT NO. QJ
OWNER
NAME MAILADDRESS CITY&STATE ZIP PHONE
� f
DIRECTIONS
TO JOB SITE / k .
PARCEL LEGAL t / 9
NUMBER 3 (j TO] DESCR. �r f' e5ec-3 --raw. j �1 /►/-d0I n j e-34z)
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO ZIP PHONE
USE OF
BUILDING �,.°'.
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓-
DESCRIBE
WORK
BEDROOMS_ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS Fir TOTAL SQ.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
T0TALSQ.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 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
REQUIRE 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN I G.AryPPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OW ERG' . L N .p� jDAT — X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED Q U
DEPARTMENT YES No DEPARTMENT YES NO BUILDING VALUATION
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 ,
APPLICATION ACCEPTED BY PLANS CHECK BY APPRO R ISSU E ERMIT VALIDATION
B TOTAL
ASH CK MO t / �
f..
D
y
Al
IC4h�e 3U 1yaS�n C�
7r,Gf 15'
14�(d a.r V era S 41L),b
IF / l C2 7�' Sh �i ak cA-
<.S`2 e/ , Gda, y ass y
oZ / 1A
1ra �
1 1
Y�
J
t
1
i
� -�
J "I