HomeMy WebLinkAboutBLD92-00321 Final Mobile Home - BLD Permit / Conditions - 10/20/1992 MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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Footings-Setback date by Ribbons �I
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date �� �� by
BG/SLAB Insulation Floors Final
date by date by date zb by
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FRAMING Walls FIRE DEPT.
date by date by- date b
PLUMBING Attic OTHER.
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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. III 426 W, Cedar
P.O, Box 186 Shelton, Washington 98584
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER S. rN + OtgkIA WA3WS15957
DIRECTIONS
TO JOB SITE Jr--, ,
1 l
PARCEL 1 ' LEGAL
NUMBER 3ZIS, 9L4� DESCR. Z 5 C N uj
NAME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR r1$1'1 1�,�!►�QFj_ D2EMPRTJN� $3�Z -S
USE OF LOA
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE ✓ REMOVE
WORK r
DESCRIBE
WORK S (` l '
AA
."
AREA: NUMBER OF: PLEASE INDICATE: NOT E
Q SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE \ aSgFt STORIES I— SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS 2- PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
q SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O DETACHED D
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
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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. ! /p APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE �J//�` ! Z� X BY _ DATE
FOR OFFICE USE ONLY
APPROVED APPROVED .��
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH Sa PUBLIC WORKS FEE i
PLANNING bAc FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE �-
Pr/�
TION ACCEPTED Y PLANS CHECK BY rYL
OVt?! FOR ISSUANCE PERMIT VALIDATION
,V� \ TOTAL
S�J CASH CK MO