HomeMy WebLinkAboutBLD13331 Final Mobile Home - BLD Permit / Conditions - 12/10/1982 Wells; William A. #13331
426-2907 12/2/82
W 1/2, SE 1/4, SE 1/4, NW 1/4 of 36-21-3
Highway 3 to Deer Creek Sun Mobile Home Sales at
E 5961 Highway 3.
Mobile Home Contractor:
32'x28' , 1983 Sun Mobile
$16,000.00 OK to set up 2nd
Mobile for resi-
en ce.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:—
Framing:
Fireplace:
Wood Stove:
P lunbing:Mechanical_
Roof:
Exterior:
Interior
Final: Q2c /-1 G 8�
Stop Wcr cam: —
Mobile Home:
Smoke Detector:
Remarks:
I�
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593
DATE ISSUI
W - Q. PERMIT N0.
OWNER ,� 1�1N� IL AD E S / / CITY 8 AT r� P„rajPjF01 a
�'" CSC/\
DIRECTIONS Cr
TO JOB SITE �� \ 3 Q / h e, soh /�! �� 'f�`f S4 hj-
DESCR. �2 � � ��1 ll/L+1% � JPC 3� /�LJ✓7i��,` ATTACHED
�SHEET)
CONTRACTOR NAME / MAIL RESS CITY d 8T Ej LICENSE NO, PHONE
USE OF
BUILDING C f f �Li LlZ.
Class of work: -X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: h 4j d / e e-j-
ah S s4 jr
Valuation of work: $ /� GGO as?4 ok'.� PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_ DECKS_ CARPORT [I NOTICE
BATHROOMS TOTAL S0. FT GARAGE
ATTACHED I i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I 1 OR AIR CONDITIONING.
TOTAL SO. FT, FIREPLACE I I DETACHED IJ
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 SHORELINES
SEASONAL I I FLOODPLAIN l !
Firm E.D. NO. S.E.P.A. 11
By Special Approvals IN OUT YES MOVED NO
LIc. No.— Date ZONING
PLANNING DEPT,
OWNERS AFFIDAVIT HEALTH DEPT. 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 BUILDING DEPT.
of the Mason County ordinance requirements for °�
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. J MOTOR VEHICLE PERMIT
Owner �— � Date! LIGATION7FPTED-BY PLANS CHECK BY APPROVED FOR ISSUANCE
Y
P CHECK VALIDATION CK. M.O. CASH PORMIT VALIDATION CK, M.O. CASH
PLOT PLAN
ADDRESS ` / � "�� // "`7 PERMIT NO. °
f °
= a
n >
a o
0
LEGAL a
DESCRIPTION LOT BLK 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 A"'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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
)
0 -
- /Prop
Li,, C
14
G
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.
NAMEW OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) 9IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT wwre BELOW THIS LINE
APPROVED /z
DATE
DISTRICT AS NOTED p2 —
6HELTON PiitN TN3