HomeMy WebLinkAboutBLD27705 Final Mobile Home - BLD Permit / Conditions - 6/12/1991 Shorelines: Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:ak
Mob i le cene:
Smoke Detector.__- gi
Remarks;c;4,/.-s7 /17cy2 r
looting: Ialo9fz Zvi
Setback-
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE IV E
Permit No. 27705 No. Floors I Sq Ftg 1188
Owner Philip M. Grabicki Tel 337-3616 Date 3-19-91
Address 5727 140th Pl. SE Everett Zip 98208
Contractor Self
Address
1,ega1 Description I.9addi �ip
nQs Sunny Shore add 6 lot 83
Direction to project site _ hvav 3 to Mason-Benson Road
follo rd to "1" at Mason Lake Dr Uirn ri ht follow
0
UTl ing eC anlca ewer 00 tOVe
Fireplace Deck Garage Carport
Basement loft Other
m,,&Zc 17&7 e, �ah i uCf�vcc � 3a yV7 l 4dvzQ Af-t
/ru-0t bG !ruit. Ya �i-om OHicl rn ire. rrr�w n(lick r�Ken-
aOA.arr 14/4z co a e, -40 a k (T_�/uy,t �nrutk.
7
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATEISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER L.It7 % GK a 7 `1VC7'v� L • 5.�t U�%�7 cF
DIRECTIONS
TO JOB SITE V �� L J S• �
r LOT 8
I cI AUK i _ J , 740 Sib
PARCEL LEGAL L �' S /v 4
NUMBER a j - a—bQ0 DESCR. ''. /w - 2C
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS 3 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES -L- 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
�
TOTAL SQ.FT. d[� 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
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. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE 4- DATE -Z 2- S� X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION '
YES NO YES NO
HEALTH _ PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE 60
FAO / rr WOODSTOVE
PLUMBING
MECHANICAL
Some�N �I Gr /1 rttLC/L STATE BUILDING FEE ,
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROV O UANCE PERMIT VALIDATION TOTAL
�� t g CASH CK MO